Laserfiche WebLink
7 -• 111 <br /> '. <br /> 'COTE. �"ULL� ALL PERMIT <br /> SEPTIC WELL, ETC...) V "t"E COPIES FOR FILE <br /> LAND USE REPORT <br /> EHD RECEIVED APP.REFERRAL: 1 COMPLETE & SUBMIT BYgAT d <br /> DAT <br /> ATTN: <br /> SITE ADDRESS: _J7�oriC7 _ <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 /> recommend: Approval Denial Continuance Inspector's Signature <br /> I pp -' <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> QA II CHECK OFF LIST ar :° 'raofreadr'eport 1; ''=g `Garrett LAND aiISE# qY <br /> EH Ob Ob Rev 1199 o� <br />