Laserfiche WebLink
J H /i26 <br /> NOTE: PULL ALL PER its (SEPTIC, WELL, ETC...) MIKKE COPIES FOR FILE <br /> LAND USE REPORT APP# 514 -01-Y-7 <br /> EHD RECEIVED APP.REFERRAL: ;14103 COMPLETE & SUBMIT BY__4 x[10.3 <br /> DA DATE/ <br /> ATTN• Ain o foo Ile r <br /> SITE ADDRESS: 's Ll to E• -c P,,1, ('7, "+ j2 d <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 /> 61 <br /> I recommend: Approval—Leo�&nial Continuance Inspector's Signature / <br /> Supervisor/Lead Senior Comments: <br /> � y <br /> _6 SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />