Laserfiche WebLink
-LAND USE REPORT '*mw APP <br /> EHD RECF.IVED APP.REFEMAL: - U ol COMPLETE & SUBMIT BY 3 -a <br /> DATE DATE <br /> ATTN: <br /> SITE ADDRESS: Q jeC. <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 /> I recommend: Approval Denial Continuance Inspector's Signature <br /> 9r 9e 4r:k�e 9e ie*9c aF�F$e 4e is 4e*de�irxrrx9c�t�c elr*4e$r�ex�ix ie iexic�c ie ie aE aF*ie ie ie�e eF�F�e�i�ie�*ieX�ir�'ex�e:4$cxie ie ie r'e isxde�k�e de 4e is re de rc is is sir*ic ie�e is�c se�c is is is <br /> Supervisor/Lead Senior Comments: <br /> LAND USE CHECK OFF LIST: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: l�Did you proofread the report? <br /> Dp YOU USE THE CORRECT: <br /> _Land Use#? <br /> y Condition(s)#? <br /> TZDid you log it as completed? <br />