Laserfiche WebLink
R;.NOTE: PULL ALL PERMI rS {SEPTIC, WELL, ETC...) MhjKE COPIES FOR FILE <br /> LAND USE REPORT APP# ,L- <br /> EHD RECEIVED APP.REFERRAL: 0 za COMPLETE & SUBMIT _ _BY J/4 e in � D <br /> DA DATE <br /> i� <br /> � ATTN: f I� <br /> SITE ADDRESS: �J <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 <br /> tc._..Public water: Ayo Public sewage: <br /> SUMMARY OR COMMENTS: <br /> i <br /> E:I <br /> I recommend: Approval Denial Continuance Inspector's Signature �� ! <br /> Supervisor/Lead Senior Comments: <br /> i <br /> �i <br /> i <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> `0 If CHECK OFFLIS ' `€ Proofread report?," " Correct <br /> EH 06 06 Rev 1199 K � ' Correct CONDITION{S)� �Logger!fii`LAND'iISE EO[7K? <br />