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LAND USE REPORT <br /> 1 <br /> APP # <br /> Y--21 To Be completed and Submitted b 3 _1 -r Y <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NA14E ADDRESS <br /> PROPOSED USE/CHANGI,; <br /> In completing the Lard 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 (name) <br /> SUMMARY.OR COMMENTS: <br /> 1. � �'7v ,�i�'z�' f• �fru '� <br /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval `-- pennii 1 Continuance <br /> Signed % �L`'�� <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance: .;: <br /> d <br /> LH 06 06 3/71 11/83 500 <br />