Laserfiche WebLink
OWNER'S NAME: <br />LCTM: <br />DATE: <br />PROJECT PROPOSAL: �i�► „SGs <br />[ ] Change of Use /Other [ ew Construction [ ] Addition or Remodeling <br />(No Building Permit) (Building Permit (Building Permit <br />Clearance Required) Clearance Required) <br />CLEARANCE EVALUATION RESULTS(completed by Environmental Health) <br />Water ��well <br />has been drilled and tested in accordance with Chapter 1040 of the <br />Loudoun County Codified Ordinance (Permit # <br />[ ] The property is served by a public water supply <br />[ ] The addition of the project referenced above has no impact on existing water supplies in the <br />immediate area. <br />[ ] Existing supply appears to be satisfactory. <br />Sewage Disposal System: <br />[ ] A permit has been issued to construct a sewage disposal system <br />(Permit # ). <br />�he property is served by public sewer. <br />[ ] The addition of the project referenced above has no impact on existing sewage disposal systems <br />in the immediate area. <br />[ ] Existing system appears to be satisfactory. <br />Building/Zoning Permit Clearance: <br />Approved [ ] Approved With Conditions <br />Conditions: <br />Environmental Health Speci4 <br />pc: Paul Myers, Building and <br />[ ] Denied <br />(Change of Use Applications <br />denied after 60 days, if no activity) <br />(if special conditions apply to construction of the structure) <br />