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LAIJU UJr. REPORT S f(0 <br /> APP N c <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S 14AIC —� ADDRESS <br /> PROPOSED USE/CHANGE <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, wised direction, etc„ on an attached <br /> Piece of plain paper. r C �a 7�s p r4- u c�� L r <br /> lvs.Nc h <br /> Size of Parcel —LI pQ aItp Requirements sq. ft. <br /> Public Water (name) UALJUJfc-y Public Sewerage (name)_ <br /> SUMMARY.OR COMMENTS: 1 <br /> 2. <br /> 3. <br /> On basis of above, I recommend: Approval ✓ Denia�l�m Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report, to Planning Standard Paragraph Approval Disapproval Continuance.Q <br /> Ell 06 06 3/71 11/83 500 <br />