Laserfiche WebLink
OTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES <br /> NFOR FILE <br /> LAND USE REPORT APP# - <br /> El-ID RECEIVED APP.REFERRAL: <br /> P� COMPLETE & SUBMIT BY (4—0 I — <br /> DATE � � DATE <br /> ATTN: - <br /> SITE ADDRESS: ' <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 /> Supervisor/Lead Senior Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA II CHECK OFFLIST Proofread report? Gorrect LAND'(ISE ? <br /> r La ed in LAND <br /> Correel GO�'DITI4NfsJ 9g <br /> EH 06 06 Rev 1199 . <br />