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• LAND USE REPORT <br /> • . APP Z, A _Tp-•f_3 <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA /0 F O �� 24 14� ;C' <br /> rte.•�r <br /> APPLICANT'S VAFE - - ADDRESS <br /> PROPOSED USE/CHVIGE <br /> In completing the Lard Use investigation draw all Public Health factors on the exhibit. <br /> (i.d.) Sewage disposal, water supplies, etc. Where necessary, draw complete map of <br /> area showing population density, location of housed, wird direction, etc„ on an attached <br /> piece of plain paper. <br /> Size of Parcel S�� ,'� I ��31 ! • (, Requirements sq. ft. <br /> Public Water (na,ne). ��E.LL public Sewerage (name) v ; <br /> SUMWY.OR CONTENTS: <br /> fJ w nor A J . <br /> 2 <br /> • hr a +� <br /> _..3_..�. �j•-ti\r „ S ,fie� +0A^ yY r'� w��`� • <br /> On basis of above, I recommend:, Approval Denial :.^. cont uance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph -Approval [= Disapproval Continuance;.M <br /> �C-M 00� ; <br /> EH 06 06 3/71. 11/83 500 <br />