Laserfiche WebLink
tANO-CSr REPORT APP Sd <br /> EHDZRECEI�ED APP.REFERRAL: — MPLETE & SUBMIT BY <br /> DATE // DATE14 <br /> ATTN: WSJ 1 U <br /> SITE ADDRESS: <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 /> z•v <br /> ;22k QC <br /> pow <br /> I recommend: Approval_ fes_ D ial Continuance Inspector's Signature A. <br /> Supervisor/Lead Senior Comments: <br /> 11 - e --..?7�, 1J, -- ns-- <br /> 2�-a �- <br /> L-Au <br /> LANIYUSE CHECK OFF LIST: <br /> koOid you proofread the report? <br /> SUPERVISOR/LEAD SENIOR APPROVAL: D_ IpYOU USE THE CORRECT: <br /> J;and Use#? <br /> Condition(s)#? <br /> Did you log it as completed? <br />