Laserfiche WebLink
NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> - 5 � • �9 - a 9 <br /> LAND USE REPORT APT# <br /> /.3 9q COMPLETE & SUBMIT BY <br /> EHD RECEIVED APP.REFERRAL: <br /> DA E <br /> ATTN• <br /> SITE ADDRESS: Sic) /4 .5j <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: -tj 1" Public sewage: <br /> SUMMARY OR COMMENTS: / <br /> ' II i 3v rrnre6l arca <br /> C�m/nuni atior. Tow6 <br /> M I V !e s <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK O/FF LIST. roojread repo/? CorreclLAND USE#? <br /> EH 06 06 Rev U99 V Correct CONDITION(S)? V Logged in LAND USE BOOK? - <br />