Laserfiche WebLink
fF <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) ME COPIES FOR FILE <br /> 1 <br /> LAND USE REPORT <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY <br /> DATE / DATE <br /> ATTN: � n <br /> SITE ADDRESS: Jr <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: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> 13Q <br /> A s <br /> fAn,_ D <br /> a S" <br /> SUPERVISOR/LEAD SENIOR APPROVAL: I <br /> r <br /> OA 1I CHECK fJFF LII P� Proofread report? Correct <br /> EH 06 06 Rev 1/99 � Correct CpKDI�TNIOIV(S)9 Logged sn LAND USE <br /> BOOS? <br /> '. ".+Rx�✓g1S °�:,ifS rv�Y. a, .x� <br />