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LAND USE' REPORT - <br /> APP # <br /> To Be completed and Submitted by <br /> Date <br /> f Issued <br /> ADD ``S UPA ) (�(.3(P E' '�1 2-0 , U4 t Ck <br /> APPLICANT'S NAME 4&gL�--e gf!! , F�f � 99.0 ADDRESS/f/" <br /> PROPOSED USE/CHANGE -7o�'f o yc �9G'*/� �°-d c� ('/h' g'�tf eye c fP.•�•���f►' <br /> ���.ry6E o.� de.T9c'E� /7(o d,.af <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 /, G �'.QE Requirements sq. ft. <br /> Public Water (name). e ��,/fl,`' Public Sewerage (name} ,,fElx , , <br /> SY40Y.OR COMMENTS: / /� .1+/,�F 9/`,•s,��•''�' <br /> ys <br /> 2. drfa fa .�•�P l'irF �C�p �Fl9/��Si.���o�7Z <br /> 3. <br /> ole <br /> 4. <br /> On basis of above, I recommend:.. A01veil `- Denial, Continuance <br /> /Signed <br /> 7'_/./+0�'��`?.! :x'' ...},.y '�/EAr/ O�YEfC/'�'�!A-?� 4/ Imo✓.�,9%.f'C�°ff .�ff�J/,.� <br /> 77-777770Y'77-577" r 75 f 777 /1", <br /> FUR OFFICE USE ONLY <br /> Report to PlwuL.ng Standard ParagrRph Approval Disapproval Continuance.Q <br /> S <br /> ck . C'- �— <br /> Lk- <br /> Ex 06 06 � `. (,L <br /> 3 1 11/83 500 <br />