Laserfiche WebLink
•� =NOTE <br /> : PULL ALL PERMS (SEPTIC, WELL, ETC...) I, AKE COPIES FOR FILE <br /> IS110n ° ncfl <br /> LAND USE REPORT APP# <br /> RECEIVED APP. � � COMPLETE & SUBMIT BY �d�a�`a�C� — <br /> EHA D T <br /> ATE <br /> ATTN: <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Public Health factors cche w completed sewage map d s Basal, <br /> water supplies, etc...). Where necessary, on an attached piece of p paper, <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 S nior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> <.,. � > .Correet.LAND.USE#t <br /> OA II C1�ECIC OFF�LIST Pra©fread report - r r� <br /> r- s � Correct CONDITIONS} Logged in LAND USE BOOKS r <br /> EH 0606 Rev 1199 <br />