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LAND USE REPORT <br /> i <br /> APP <br /> To Be completed and Submitted by ��- <br /> Date Issued <br /> ADDRESS UPA 1 -7G0n d 1 -72 1 (/,) C HNRN L e i tj LORI <br /> APPLICANT'S NAME t- T Co ADDRESS P O L3 olC X11 C� <br /> PROPOSED USE/CHANCE <br /> In completing the Lan] 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 U Requirements sq. ft. <br /> Public Water (name) Q., c , Public Sewerage (name) yr <br /> SUMMARY.OR COMMENTS: <br /> 2 <br /> 3 <br /> !: Ftp P On basis of above, I recommend: Approval ✓ Denial Continuance <br /> Signed <br /> a <br /> Y <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval EADisapproval L� Continuance <br /> EH 06 06 3/71 11/83 500 <br />