Laserfiche WebLink
LAND USE REPORT , o APPS,...-5 N <br /> EHD RECEIVED APP.REFERRAL: 3 / / COMPLETE & SUBMIT BY G/-30 -99 <br /> DATE DATE <br /> ATTN: LLoi, L. 42 044 4 / <br /> SITE ADDRESS: ) W n:z E, �� rL (�/� Zn _4 o,�)a <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 /> • � //:03 <br /> 2Z, 05 (b) <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> xxxxxxKx***�,�Kx*<xx*�*�xx�xx�xxxxx****x,�xx,•:x�K�*Yn��****�*��x***x***x�;,�xx,�*Kx*xx�*xxx,�xxx <br /> Supervisor/Lead Senior Comments: <br /> LAND USE CHECK OFF LIST: <br /> ✓Did you proofread the report? <br /> SUPERVISOR/LEAD SENIOR APPROVAL: Dlf OU USE THE CORRECT: <br /> and Use#? <br /> V Condition(s)#? <br /> Jaid you log it as completed? <br />