Laserfiche WebLink
NOTE: PULL ALL PERK S (SEPTIC, WELL, ETC... -1KE COPIES FOR FILE <br /> 3 <br /> LAND USE REPORT APP# <br /> E11D RECEIVED APP.REFERRAL: — O COMPLETE & SUBMIT BY. <br /> DATE l DATE <br /> ATTN. <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 /> M showing population density, location of house, wind djrection, etc.... <br /> Public water: �- *clic sewag . <br /> SUMMARY OR COMMENTS: W-0; -r49 <br /> �� s <br /> �.. <br /> .+^r - r r <br /> :t 7`" <br /> r^ <br /> I At <br /> r. <br /> �rr <br /> r <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> � s P <br /> I <br /> f . <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> -�0A II.CHECKOFFLIST Proofreadreport7 ''CorreaLAND USE#T <br /> �� t G`orrerf CONI]ITION(S)? v `Lagged irr LAND USE BOOK? <br /> EH 06 06 Rev 1199 , <br />