Laserfiche WebLink
NOTE: PULL ALL PERS (SEPTIC, WELL, ETC...)(—' ';KE COPIES F L <br /> OR FILE <br /> ;LAND USE REPORT APP# _6 11 <br /> f t <br /> EHD RECEIVED APP.REFERRAL: U ? COMPLETE & SUBMIT BY P.Pyl oa <br /> DAT b . <br /> f SAA i r <br /> is ATTN: J Q-_S C h <br /> i <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Public Health factors <br /> on the exhibit (i.e.: sewage disposal, <br /> sWater supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> howing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> a <br /> I recommend: Approval Denial Continuance Inspector's Sig <br /> nF�F�cicic�Y*�c$de*9c dcic�edcxisa'c�c9c�e>t�coF�r�kdr�9ckkir*i'r�tacotic�kk�trx�Eic�r�kair�kac�eek�e¢ckic�caY9cicdt�ek�r9ck�c* �Ficic xir9cicicxdr�F$t�Fivir�ex <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: ' <br /> A <br /> ,t <br /> 'a DA II CHECK 4FFLLST Prao�'readeport�" Correct L 4ND�1SE,# . <br /> EH:06 06 Rev U99 � f Correcd GONDITTO {SJ� s` "' Lagged in LAND�ISEBDOI[? <br />