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LAND USE REPORT <br /> APP H y 7 <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA LZ2 2— <br /> APPLICANT'S <br /> APPLICANT'S 1dA1IE �. - rwy/je �'piv ADDRESS�.��a ��j��e �� clC <br /> PROPOSED USE/CHAPlGE P�g' r' y G•J//'' 'y / <9f��jliiul�,�er�.,�//i /�._2y��FJ,Cfa/i{� Efr� <br /> 4/' j9r.�/r �t I.a,Pi✓c9 !o.✓Pi�e+.er�'�.w <br /> In completing the Lax 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 ParcelL�v✓� Requirements sq. ft. <br /> Public Water Public Sewerage (name) AE/iie <br /> SUMMARY"..OR�.COMMENTS: ' <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> On basis of above, I recommend:, Approval </ D 1al Continuance._ <br /> Signed ^� <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval p Continuance �--I <br /> 44- r `, 4- f <br /> EH O6 06 3/71 11/83 500 <br />