Laserfiche WebLink
\ PERMI' SEPTIC, WELL, ETC...) MA'10E COPIES FOR FILE <br /> NOTE: PULL ALL � <br /> LAND USE REPORT APP# <br /> COMPLETE & SUBMIT BY ► ' 1 'u� <br /> EHD RECEIVED APP.REFERRAL:DATE /� DATE <br /> ATTN: M 4A n bole t, <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 /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <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 />