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(1) <br /> LAND USE REPORT <br /> APP # Sfl- 88 — (Jo f <br /> To Be completed and Submitted by _7 - 2-1 .-Mr <br /> Date Issued <br /> ADDRESS UPA RQ Ot I S —>7 CU"E 9 9 <br /> APPLICANT'S NAME _ L f Cern opA ADDRESS fl, lZ f fj E, C O KT}!(--/+N h <br /> PROPOSED USE/CHANGE <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 /> 1. <br /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval _ Denial Continuance <br /> Signed <br /> f <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval 0 Disapproval p Continuance Q <br /> yo <br /> vat-.��� <br /> EH o6 06 3/71 t—,J.x. /83 500 <br /> ^ <br /> r� ZZ,4 <br />