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LM USE REPORT <br /> C -rc- -Fq 3) <br /> �\ APP <br /> ` To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA �11 l i c a n o <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplies, etc. Where 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 (naive) <br /> SUMMARY-OR 00MMENTS: <br /> 1 C-2 X11 Q S rPd <br /> ° • <br /> 3 w � �e o f z <br /> r ' <br /> 2 .a <br /> OF <br /> on basis of above, I recommend: Approval ✓Deal Continuance <br /> Signed Z-4:n� <br /> t <br /> FOR OFFICE ITSE ONLY <br /> � Continuance <br /> Report to Planning Standard Paragraph Approval Disapproval <br /> � . <br /> Edi ob ob 3/71 11/83 500 <br /> t <br />