Laserfiche WebLink
r <br /> NOTE: PULL ALL PERMIT'S (SEPTIC, WELL, ETC...) MACKE COPIES FOR FILE <br /> io <br /> LAND USE REPORT APP# . �r-a 3- :3 7 <br /> EHD RECEIVED APP.REFERRY <br /> RAL: COMPLETE & SUBMIT B <br /> DATE ATE <br /> ATTN: 0 <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 /> ffe ` <br /> IVr <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> 04,Ii.CHECK OFF LIST { " Proofrephd report? Correct LAND FTSE ff <br /> EES 06 06 Rev v99 „ Correct CONDITIONS) Logged rnpLA1VD USEBODIC7 4,, <br />