Laserfiche WebLink
6. <br /> NOTE: PULL ALL PERY' (SEPTIC, WELL, ETC...) ]EKE COPIES FOR FILE <br /> LAND USE REPORT APP# Al 6 7-a/ <br /> AP-B <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY - <br /> DATE y DATE <br /> ATTN: �t wG`t ��C•� <br /> SITE ADDRESS: 3"7 5 . <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 ho se, wind direction, etc.... <br /> Public water: V^QUS Public sewage: , C_ <br /> SUMMARY OR COMMENTS: <br /> Lo �.v <br /> I recommend: Approval Denial Continuance Inspector's Signaturl���41�—tj <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 1199 Correct CONDITION(S)? Logged in LAND USE BOOK? <br /> ..: , <br />