Laserfiche WebLink
NOTE: PULL ALL PERMS (SEPTIC, WELL, ETC...) PKE COPIES FOR FILE <br /> LAND USE REPORT APP# Z-4 _d <br /> �yQ <br /> EIiD RECEIVED APP.REFERRAL: 7 COMPLETE & SUBMIT BY q A P,pys 5/01 <br /> DA E <br /> ATTN: a <br /> SITE ADDRESS: C15S0 d, la ct,4 <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 /> MD IJ <br /> I recommend: Approval Denial Continuance Inspector's Signature l <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> �'OA II CHECK OFFLIST Praofreard report? Correct LAND USE#7 <br /> ' "�''' "Correct CONDITIDN(S)P ^'� Lo ed In LAND USEBOOK7 <br /> EH 06 06 Rev 1149 <br />