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— LAND USE REPORT <br /> APP N S 4 `?d- 20 1 <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA S hJ Cor. .� Le n Ir ,-- F�- Se �kw Qw. iY'ac !cs <br /> APPLICANT'S NAME 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. Hhero necessary, draw complete map of <br /> area showing population donsity, 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 OOMMENTS: <br /> -7L- <br /> 2 - <br /> 4. <br /> On basis of above, I recommend:., Approval Oe' Denial Continuance <br /> Signed --- - <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance:q <br /> M <br /> 01 <br /> ER 06 o6 3/71 11/83 500 <br />