Laserfiche WebLink
L� <br /> L L ALL PERMI�SEPTIC, WELL, ETC...) M � COPIES FOR FILE <br /> NOTE: PUL <br /> LAND USE REPORT APP# <br /> EI{D RECEIVED APP.REFERRAL: I `�� —02_ COMPLETE & SUBMIT BY J <br /> DATE a DATE <br /> ATTN: J f <br /> SITE ADDRESS: G -7L41 1-(- i <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: ,7eD <br /> SUMMARY OR COMMENTS: <br /> on h16�t?�r <br /> Q fz7 . <br /> v <br /> IS ommend: prova � enla� Continuance In <br /> Sig ------- <br /> Supervisor/Lead Senior Comments: <br /> ® ,s <br /> L <br /> e3 <br /> : o <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II'CHECK OFF DIST Pivofread report7�"a Correct LAND USE#7 <br /> EH 06 06 Rev 1/49 <br />