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\• / LAND USE REPORT <br /> APP Qy <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA ((Po 3 S Uj (,0 d,` <br /> APPLICANT'S DAME ADDRESS <br /> PROPOSED USE/CHA.INGE <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 OOMMENTS: <br /> 2. <br /> 3. <br /> 4. (�0 <br /> On basis of above, I recommend:. Approval ` Denial Continuance <br /> Signed JL <br /> 4 ., Z <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance' <br /> J <br /> EH 06 06 <br /> 3/71 <br />