Laserfiche WebLink
riOULL ALL PERMITS (SEPTIC, WELL, ETC...) ME COPIES FOR FILE <br /> LAND USE <br /> REPORT APP# 9 - �� S 01 _ <br /> EHD RECEIVED APP.REFERRAL: 1 40�> COMPLETE & SUBMIT BY — <br /> DATE DAT <br /> ATTN: <br /> SITE ADDRESS: I <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 /> ra <br /> j? op <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> ,S`.*a <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> M <br /> OA II <br /> C <br /> CHECK OFF LIST �'. Proofread report ; <br /> orreet LAND.USE-#? _: <br /> Co rect CONDITION( <br /> r gigged ui LAND USE BOOKS e <br /> EH 06 06 Rev 1199 <br />