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LAND USF. REPORT <br /> APP N t,(J1 <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPAj <br /> APPLICANT'S NAME lEeL- ADDRESS 5 7S`" <br /> PROPOSED USE/CHANCE / Ie e �•��G q <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 (name) <br /> SUMART.OR OOMMENTS: <br /> 1. �.i [ I� , ofadd A, �a Ptd � �? � � (o <br /> 2. <br /> 4. <br /> On basis of above, I recommend:. Approval eContinuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to PlannLng Standard Paragraph Approval Disapproval Continuance,Q .; <br /> 31 �... <br /> &7 . . <br /> EH 06 06 3/71 11/83 500 <br />