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w LAND USE REPORT <br /> ``� 'Y •' ' APP JY 0 <br /> To Be completed and Submitted by <br /> Date Issued . <br /> ADDRESS UPh <br /> LY Cd V1 -(-P-r 54- 14-11'. <br /> APPLTCANTIS NAME M42 6t .I • ADDItCSS <br /> PROPOSID USE/CHAHCG /in . 0al v-( rt/oc4 .: e�ilfir� <br /> In completinC the Land Use invostication draw all Public Hoalth factors on the exhibit. <br /> (iso'.) SewaCa djapoaali tater supplion, etc, Hhoro necessary, draw complete map of <br /> area showing population density, location or housed, wind direction, etc,; on an attached <br /> piece of plain paper. i <br /> Sire of Parcel /- ' Rcas Requirements sq., ft. <br /> Public Water (name) ' Public Seweraeo (name) ? ; <br /> SUHMNZY•0R OOMML.-NTS: .. <br /> ,2. <br /> On basin of above I irecommend:.. Approval Denial Continuance, • `• <br /> Signed <br /> MR OFFICE USE ONLY <br /> r . Report to Plann � Standard Paragraph Approval 2rusapproval Conti.nuance�•� <br /> - Via - .• . . . <br /> -.. <br /> EH 06 06 3/71 11I83 500 <br />