Laserfiche WebLink
NOTE: PULL ALL PERM S (SEPTIC, WELL, ETC...) KE COPIES FOR FILE <br /> LAND USE REPORT APP# RL ` <br /> EHD RECEIVED APP.REFERRAL: y�6-6 COMPLETE & SUBMIT BY <br /> DATE DATE <br /> ATTN: J O E <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Pub IC 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 O CO ENTS: <br /> i <br /> i <br /> M <br /> s <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> C Supervisor/Lead Senior Comments: <br /> i <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> �DA'II CIE1�G1F ;LIST:,E'" Ptnoftead teport� ; 9�KGarrect LAND iISE#' <br /> EH 06 06 Rcv 1199 �—"— ,ew � at < �1. _ t s,=mai ,"�' <br /> . 3 '', ° `J �kG. <br /> i <br />