Laserfiche WebLink
NOTE: PULL ALL PERM,'`rS (SEPTIC, WELL, ETC...) N.--KKE COPIES FOR FILE <br /> _LAND USE REPORT APP# 3-I <br /> EHD RECEIVED APP.REFERRAL: O� COMPLETE & SUBMIT BY ` <br /> DATV DATE <br /> ATTN: <br /> SITE ADDRESS: 124 f <br /> In completing the Land Use investigation, draw all Pub4 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,��Y�/"e-X4�, y 42 r, Tie We= <br /> Tis lr�% � ,��.,�' -f ee-•��'r-�,�;���I�.� - <br /> l�� l�t'l7E�i�7G�� ZLI���Ili✓�lct'i /y/ll�"�71E���� ��/' ��-!'G��/-�f6Ly/`�-��� GC's`= <br /> �c1Z, -4eZ-4;f-7h-2G-Zl� <br /> t <br /> I recommend: Approval / Denial Continuance Inspector's Signatur ,7� <br /> �c�c it is is it ix is�c�c*x xic is icx�t 4c�c�r it�Y is�E*ic�cx:cic>czc'x�c*ix is is�c nF 9c�c�Fxir it is icx*�c>c is ac�cx Kicxic xic icxxic�i is�c�c�Fx�c 7c'xx�c is is xisxxir is is�cxic <br /> Supervisor/Lead Senior Comments: <br /> y <br /> jen•� <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> y 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 />