Laserfiche WebLink
NOTE: PULL ALL PEICAS (SEPTIC, WELL, ETC... COPIES FOR FILE <br /> LAND USE REPORT APP# {�i�-- ��' - ri f <br /> EHD RECEIVED APP.REFERRAL: — COMPLETE & SUBMIT BY —Q <br /> DATE DATE <br /> ATTN: MAL <br /> SITE ADDRESS: 102) CD q <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: q�S, Public sewage: - <br /> SUMMARY OR COMMENTS: <br /> ul <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> ML� Ly,�It/ <br /> �ex�cic�ricac�ex�c9cic�Ficicicicic�c�'c*xicicXXicieicxixieiciri�xicicicXicici�icicic�exieicxxxicicirieiciciricicicic�cic�cxicic�'cirie�'e�ex�e9eiese�F�e*�e4e�t�eie��e <br /> Supervisor/�Lead Senior Comments: <br /> o T/ <br /> 26 <br /> -, �, �/ _� ,a - <br /> .Qboa �z <br /> Aq <br /> 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 />