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(1) <br /> LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by /p <br /> Date Issued <br /> ADDRESS UFA <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANGE <br /> e <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 /> SUMMARY-OR COMMENTS: <br /> / <br /> �� ' <br /> 3 4� i ' ` <br /> On basis of above, recommend: Approval Denial Continuance _ <br /> Signed ^r <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph ApprovalKDisapproval Continuance q <br /> �- jhAXIS <br />