Laserfiche WebLink
NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE RETORT APP# <br /> / R � <br /> !� ( COMPLETE & SUBMIT 77 <br /> > - C/ <br /> EH)RECEIVED APP.REFERRAL: A <br /> pl� <br /> " <br /> DA E j <br /> ATTN: '(r�t�t�� �1C.�1f I� <br /> SITE ADDRESS: <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: 1 r Public sewage: <br /> SUMMARY OR COMMENTS: <br /> // natur ' <br /> I recommend: Appro4— Denial Continuance Inspector's <br /> Supervisor/Lead Senior Comments: <br /> d <br /> Ae <br /> off. <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA H CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> E11 06 06►tev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK?— <br />