Laserfiche WebLink
Jy <br /> NOTE: PULL ALL PERM (SEPTIC, WELL, ETC...) M "E COPIES FOR FILE <br /> LAND USE REPORT APP# P P-y 9�n A -907/ <br /> EnD RECEIVED APP.REFERRAL: �-ab-� COMPLETE & SUBMIT BY _ I D - dD <br /> DATE - DATE <br /> n � <br /> ATTN: '�lAnd/e r lfln c-47i n <br /> SITE ADDRESS: mn rNAZA. - "O'kk )Zr J::JA)L::j i. T/ C-. r <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e.: se�disposa� <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 OR COMMENTS: <br /> �E� oerof3E�e 5 tSv9 �ET7-ecz <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA H CHECK OFF LIST: _Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1199 _Correct CONDITION(S)? Logged in LAND USE BOOK? <br /> I <br />