Laserfiche WebLink
NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MSE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: WE03L— <br /> COMPLETE & SUBMIT BY* P 1 <br /> DDATE <br /> ATTN: <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (Le.: 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 OCOMMENTS: <br /> r <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> 7k**ic***a4****�c$t�r�e****�e'1e****�edr*�t�e:�ic*�kk�F*dt*k*ic*ie ie�c*dr 5e ie�r*vF*9e**'r*Y4e***dr�c�e*icer*Fx**9e'e***9cir�c**fit**ir <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> ' Prop read ie art?¢ ^' -`correct LAND USE#�� <br /> =OA II CHECK OFF,LIST .� P . , . . - � ,g <br /> °- Corect CONDITIaN{S) v dogged ttt I fiND USE�DOK? <br /> E1-1 06 06 Rev 1119 z <br />