Laserfiche WebLink
NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...)`NIAKE COPIES FOR FILE <br /> LAND USE REPORT ua <br /> APP# E Xua=14 <br /> EHD RECEIVED APP.REFERRAL: q-3-0 ( COMPLETE & SUBMIT BY bi— 6 1 -0 1 <br /> DATE DATE <br /> ATTN• r 7 r <br /> SITE ADDRESS: 3101 3 S -Frac-,,, 151 , , <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 /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />