Laserfiche WebLink
LAND USE REPORT APP#. <br /> EHD RECE11'ED APP.REFERRAL: 3 Q3 99 COMPLETE & SUBMIT BY d,5/9/ <br /> DATEL / DATE <br /> ATTN: <br /> SITE ADDRESS: 10 yy� �� `5 � �� r1 ,�_fecl. "Aef/o/'l <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 /> S � -1-41�11 /~Y -400011 XO /rW <br /> Ide <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> xc is is is is�c F�c:F is F iexxx�ex:e is si�e 4e F*�'c aYX�e F TeX**'c�czoe ec* 'c:exxit is r.*ie de ee is ie iex�exxxr.icx4e�e is icxxic r.>c icx�cx�e ie is is ieXxxeeX�e�c is is is <br /> Supervisor/Lead Senior Comments: <br /> ",/ A�; 4/0, <br /> loor <br /> / A�✓ /�' iiiez Z/&Z <br /> LA <br /> ,YD USE CHECK OFF LIST: <br /> (/Did you proofread the report? <br /> DI YDid <br /> YOU USE THE CORRECT: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: and Use#? <br /> ondition(s)#? <br /> you log it as completed? <br />