Laserfiche WebLink
NOTE: "eU.L ALL PERMNS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# - <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY =:2 —(J/ <br /> DATE DATE <br /> ATTN: <br /> SITE ADDRESS: J1 � <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: Al TA k r.- i Public sewage: <br /> SUMMARY OR COMMENTS: ) <br /> 0 <br /> Alt- <br /> , /S <br /> I recommend: ApprovalDenial Continuance Inspector's Signature tF7- <br /> ak9c9r****9c*3c�c�c 3cx�c*9c 9c$c 4e 9c*�k�'c�c*�'c�E is�r 4c a'c it�c is is�c�Y�cX9r*ir se�F�c*�F**9c nk***ic>c�c arc�c�F�c 9c icxaF�c�e 9c 9c*ic�k rc aY of ix*�c is isxic is is is ix ie�c is <br /> Supervisor/Lead Senior Comments: <br /> 45 <br /> ✓ � a� � o3 _ c� <br /> 6 p2 a2 ^ i <br /> 11 ' 03 00s <br /> SUPERVISORILEAD SENIOR APP VAL: <br /> OA H CHECK OFF LIST. Proofread report? correct LAND USE#? <br /> EH 06 06 Rev 1/99 <br /> Correct CONDITION(S)? Logged ire LAND USE BOOK? <br />