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~ g. 1AND USE RE-PORT <br /> APP # <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UFA U..�v v,� s �- - <br /> APPIZCANT'S NAME ADDRESS . <br /> PROPOSED USE/CHARGE <br /> In completing the Lard Use investigation draw all Public Health factors on the exhibit. <br /> (i.a.) 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 �2 C '"� Requirements sq.. ft. <br /> Public Water (name) 1,a,SLL Public Sewerage (name), � , <br /> SUMMAA.Y.OR COMMENTS: .. <br /> Vooi,pV rc,U +J <br /> 2. ►.r r., o •, <br /> 3. <br /> 4. <br /> On basis of above, I recommend:.� Approval Denial Contipuance <br /> Signed &ICWI �.. ` <br /> MR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph -Approval Disapproval Continuance;.[ <br /> 4'io <br /> EH 06 06 3/71 11/83 500 <br />