Laserfiche WebLink
rt n�� 7 � �q V • V <br /> 11 L <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) IVr KE COPIES FOR FILE <br /> LAND USE REPORT APP# - �.� <br /> EHD RECEIVED APP.REFERRAL: ' ( COMPLETE & SUBMIT BYE <br /> Z '-b <br /> DATE pp ATE <br /> ATTN: - <br /> SITE ADDRESS: <br /> draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> In completing the Land Use investigation, <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: /'22c'D <br /> SUMMARY OR COMMENTS: <br /> d� <br /> I recommend: Approval Denial Continuance Inspecto ' na u <br /> :F�t�c�c***�c�Flcie*ic*!c�t�elraF*�c*k�e9ricis�e�ricic*dr�ex4r*3e iekicis!c$eJr9e*3e 9r 7kak�c9cic�c*icx�r*$t 9elc$ccdcrr*x9cic$c�rde�eir�cdtde'cxxir**�exde*ic <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA IITCHECK QFF LIST: °$ Proofread reporl�z` = Correct LAND Usk#? <br /> * E Correct CONDITION(S) agged <br /> EH 06 06 Rev 1199 D USE OOK <br /> Lrn L <br />