Laserfiche WebLink
N:7f-E.t PULL ALL PERM 'S (SEPTIC, WELL, ETC...) P KE COPIES FOR FILE <br /> LAND USE REPORT APP# 10A-o ,1 .363 P/et,.,�o/lctisso�l <br /> FHD RECEIVED APP.REFERRAL: 0 - -�a COMPLETE & SUBMIT BY <br /> DATE DATE <br /> ATTN: <br /> SITE ADDRESS: a U 71/ <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 /> ! D <br /> > ` <br /> a, = <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> 4cxix it rc*ia�Fxxxic rc�'s is 7cxic xirx�cx9cx�ixxxxir ix ycxic is is is icx xxxic is zr'cxrxxir isxic is ic>c is icxic*icxic is r.is is is it is is is�c>c is icz is iczic is is xic is is <br /> Supervisor/Lead Senior Comments: <br /> s <br /> Yet- <br /> ✓1 �' / C.' CJS GO-rrc�L. <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> V <br /> OA H CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />