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• LAND USE REPORT low <br /> 1 • I � `, <br /> 90 /-J 33 c •1 4 .r. <br /> APP ✓ <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA 9Lf Yo 4& lam+ A rya <br /> APPLICANT'S NAME _ _ ,s�.�%+ter ADDRESS/2,//h ,e,11 <br /> PROPOSED USE/CHANGE/I r.IOO <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, loeat}on of housed, wird direction, etc„ on an attached <br /> piece of plain paper. <br /> Size of Parcel .` , - _S « Requirements sq, ft.f <br /> Public Water (namo) Public Sewerage (name) <br /> SUMMARY-OR COMMENTS: _ <br /> 1.4 <br /> 2. <br /> On basis of above, I recommend:.> Approval Denial,•_. Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Plann&ng Standard Paragraph Approval Disapproval Continuance;_ <br /> Eli 06 06 3/71 11/83 500 <br />