Laserfiche WebLink
NOTE: PULL ALL PE S (SEPTIC, WELL, ETC...) Y--�E COPIES FOR FILE <br /> LAND USE REPORT APP# P <br /> EHD RECEIVED APP.REFERRAL: r� COMPLETE & SUBMIT BY 8 —d -, <br /> DATE^ r� DATE <br /> ky- <br /> SITE <br /> ADDRESS: _-_ __-�,3UO ,� IL,�. 4cl <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 /> ******3r**�e�t>c9c**tic*oE*dcE:E************ic*icic*isaE********dc 3c***it*�c�r ie�r**kk�eJc**�e�e'c�e�ede*3e Jr�e3ekY�e*icir**iedek <br /> Supervisor/Lead Senior Comments: <br /> A , <br /> -7 _._ <br /> 7 ;2 , �t' <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> DA II CHECK DFF°LIST t � Proofrentt report a, i , 2 Correct L.91YD USE#9 ri <br /> EH 06 06 Rev 1199 k r rest GQ11'DITIDN 'Lugged in LAND tI5E B04Ka <br />