Laserfiche WebLink
a <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> END RECEIVED APP.REFERRAL: <br /> f ���� COMPLETE & SUBMIT BY `' <br /> RBY <br /> DAT i3 r DATE <br /> ATTN: ken� ��-`�� <br /> SITE ADDRESS: _ } �• G+c/l Ci1S <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 /> SUPERVISORILEAD SENIOR APPROVAL: <br /> SDA II CHEGX OFF DIST. Proofread repots <br /> ? € Carreel l.:4ND 11E'#�? <br /> Corr cf GQENI�ITll1N(SJ�_ L a InD[ISEBOOK7 <br /> EH 06 06 Rev 1199 <br />