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(1) <br /> LAND USE REPORT <br /> APP N <br /> To Be completed and Submittod by ? .-'p, q- —FS <br /> Date Issued <br /> ADDRESS U � o �21:c, <br /> Al'P LI CANT'S NAME ADD RES S <br /> YROPOSM USE/CHANGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e'. <br /> ) 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 /> SUMARY OR C0*WT3. <br /> 2. 3 <br /> 3. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval M Continuance a <br /> � . SD <br /> Eh 06 06 3/71 11/83 SOO <br />