Laserfiche WebLink
L� <br /> NOTE: PULL ALL PEh..ITS (SEPTIC, WELL, ETC...reiIAKE COPIES FOR FILE <br /> LAND USE REPORT APP#I_ — <br /> �c �sR) <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY z C2 <br /> DA <br /> j 'DATE <br /> ATTN: <br /> SITE ADDRESS: /YOU <br /> In completing the Land Use inv s�tigation, 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: i� „� }�� Public sewage: <br /> co- <br /> _ g n.E-r.K <br /> SUMMARY OR COMMENTS: <br /> O <br /> I recom nd: Approval-,'--Denial Continuance Inspector's Sig at _ <br /> a <br /> e <br /> Supervisor4a - enlo�'Coimentg:"1� <br /> --El <br /> .dam/f'-�-, r'r^r'�L �r�-s y�i-' .�.Caf/ G✓�.�. JIiF-'.-mac r� <br /> of <br /> fin <br /> 4 <br /> y <br /> SUPERVISOR/LEAD�-SENIOR <br /> AAP"PROVALL: <br /> / <br /> (Uf <br /> EH 06 06 Rev 1/99 <br /> l�/i/`oy.� OA I/CHECK OFF LIST.- Proofreadreport? Correct LAND CASE#? <br /> Correct CONDITION(S)? Logged in LAND USE BOOK? <br />