Laserfiche WebLink
. NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) M!--KE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: -Q)D COMPLETE & SUBMIT BY <br /> DATE DATE <br /> ATTN: GL , - <br /> SITE ADDRESS: b 7 <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 /> f. <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> v <br /> 4A II CHECK QFF LIST." =Froafiead repari? B Correct <br /> Y sa, ` ` Correct CONDTION(S} Logged in LAND [1SE BCOK� : <br /> EH 0606 Rev 1199 <br />