Laserfiche WebLink
74 <br /> SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> NOTE. <br /> • PULL ALL PERMITS ( -Tr nr� <br /> LAND USE REPORT <br /> qq COMPLETE & SUBMIT BY----IT, <br /> TE <br /> EHD RECEIVED APP.REFERRAL: ✓ <br /> DACE <br /> ATTN: he r <br /> SITE ADDRESS: <br /> 6 � � <br /> Use investigation, draw all Public Health factors on xhdraw completed map ofarea <br /> disposal, <br /> In completing the Land Where necessary, on ar► attached piece of plain pap , <br /> water supplies, etc...). <br /> showing population density, location of house, wind direction, etc.... <br /> Public sewage: <br /> Public water: <br /> SUMMARY OR COMMENTS: 1 Z �4 <br /> 0-5 <br /> I recommend: Approval Inspector's Signature,--Denial Continuance p $ <br /> Supervisor/Lead Senior Comments: <br /> roll <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK -p LIST.• Proofread report? . Correct LAND.USE#? <br /> EH 06 06 Rev 1199 <br /> Correct CONDITTDN{S}? Logged in 1.A" USE.BOOK'-. <br />