Laserfiche WebLink
NOTE: PULL ALL PERMI it S SEPTIC WELL ETC... MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY ` — -7— 6f 9 <br /> DATE DATE <br /> ATTN: y <br /> SITE ADDRESS: o on e ga k S <br /> 0 <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 /> Wed (D <br /> IV <br /> �^ <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> icirrricic>ciri�icicicicrricicicicicic�c3c�e devlr�c�E*�e$r*a'e�F9e�e�e�e�F*�e�ic9e4t�ir*de�c*�r�cdeo'e�r�c�ede�ie$c�eate�c�c�e9e�e�e9e�ede�e�e�'e�r�rx�cie9e�e�e9 r edi�e <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 />