Laserfiche WebLink
PERMITS SEPTIC WELL ETC... MAZE mCOPIES FOR FILE , <br /> NOTE: PULL ALL ( ) <br /> LAND USE REPORT APP# LA --O <br /> 6 e 42.0�e <br /> E1ID RECEIVED APP.REFERRAL: C� -01 COMPLETE & SUBMIT B AP.PY- 1 j - �" 1 <br /> DATEA%0! • TE Lof I E <br /> ATTN: ��_ y kcn e-S _ <br /> SITE ADDRESS: _I 1.@-q Cj �Ot�'r�'l�c7i� _- RA • i <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 /> I recommend: Approval Denial Continuance Inspector's Signature <br /> i Supervisor/Lead Senior Comments: <br /> i <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> QASII C1�TECICQFFLIST �Proofseud report?, Garrecl FLANOUSE, <br /> P "dYf qw <br /> El i 06 06 Rei 1/99 �: Garrett GON;.Dq{I?ION(Sj Z6ggi d!q LAND USE.90 K? <br /> .. €1,7, <br />