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(1) <br /> LAND USE REPORT <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Lam Use Investigation draw all Public Health factors on the exhibit. <br /> Sewage disposal, water supplies, etc. Nhere necessary, draw complete map of <br /> area showing population density, location of housed, wind direction, etc, , on an attached <br /> piece of plain paper. <br /> Size of Parcel Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY OR OOMMENTS: (�1 <br /> 2. <br /> 3. <br /> L. <br /> On basis of above, I recommend: Approval Denial Continuance _ <br /> Signed ('j`� <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval V] Disapproval Ll Continuance a <br /> Eh 06 06 3/71 11/83 500 <br />