Laserfiche WebLink
NOTE: PULL ALL PERMxrrS (SEPTIC, WELL, ETC-) 0AKE COPIES FOR FILE <br /> LAND USE REPORT APP <br /> EHD RECEIVED APP.REFERRAL: S C� COMPLETE & SUBMIT BY <br /> DA DATE <br /> ATTN: O LL 4--u� �Ur <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: Itel- <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature r <br /> dr ai�e 4e�e ek sk of 4e kie*hex <br /> kaF!c lova vi kir F s44r aE�'<xxix 6 iv ie is�e�F*x**9c***fie k 3c k$r Jc eF air F dc�9r�e de it 3c$c 9ex$c ie vc de�e�r�E kaF *:E fc de 9e eF 6�k iv$e�ekx$ <br /> Supervisor/Lead Senior Comments: <br /> i/ <br /> a <br /> 71 4 <br /> SUP VISOR/LEAD SENIOR APPROVAL: <br /> OA II CIIEL`K OFF LIST :Praofrend report? ` Correct t4ND USE# <br /> FE 1 06 06 Rev 1199 ' F Correct CONDITIONS) Logged rii LAND U.E BOOKry <br /> v t <br />