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LAND USE REPORT lve �✓ — <br /> I I APP # UP-90 -3 <br /> To Be completed and Submitted by <br /> M rr DateIssued <br /> ADDRESS UPA 3� M Yl S OU(-t j , JW S4� <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHAIIGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplies, etc. Hero 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) 'C l LA- ,, l € r Public Sewerage (name) <br /> SUMHARY.OR COMMENTS: <br /> -2 <br /> 2. rse. W <br /> Y3. ctL 4- L. <br /> 4 <br /> O . basin of above* t raooimneifl: , Approvale�al Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance.Q <br /> EH 06 06 3/71 <br /> 11/133 500 <br />