Laserfiche WebLink
14-?STE: PULL ALL PERMl S (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# �--A-0D -- 79 <br /> EHD RECEIVED APP.REFERRAL:�� (�_ LO COMPLETE & SUBMIT BY 4fi <br /> DATE DATE <br /> ATTN• , L <br /> SITE ADDRESS: Ll 75/ <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 /> ..� s <br /> E� <br /> I re 41mcnd: Approval Denial Continuance Inspector's Signatur <br /> �Y9r'Jr3e�e�fe***k*dcati*k***qtr*aF*****de**Je�e*�F�e9r�r9e�k�r**********9c�k*9r 9c 9c*9r*9e�c 9r�r*�ex�edeick**�e'c�e*fie*dr**Jr�ede*x�c pie*ic <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST � °n�Prvofread re Correct LAND USE#' <br /> EH 06 06 Rev ]I99 Cor`reel C4NDITIQN{S)9 �iLagged ui LAND USE BO41 � <br />