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LAND USE REPORT <br /> APP N LA 8�i 30 <br /> w <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA fe, �— 5 <br /> APPLICANT'S NAME �i' ADDRESS a 7,o 7ir.• Y idEtg �' 95��✓ <br /> PROPOSED USE/CHANGE tE�lresifJot /��GfQc6F�od2lF 4/9fFry ' ic /JSl�pdf9 aF �c <br /> /wo r i° 9.f® e.td add ' • ' J <br /> In completing the Lard Use 11'ivestigation 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 /yD i9PAE✓ Requirements sq. ft. <br /> Public Water (name)_/�•t ✓/off ./✓Ff G Public Sewerage (name) �iWfitt <br /> SUWMY�.OR COMMENTS: <br /> 2. <br /> 3. <br /> 4. <br /> On basis of above, I recommend:. Approval Deni Continuance <br /> Signed <br /> f <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance-f:] }_ <br /> —y, 74 <br /> S/ 3/ )3q l 20 � ',2'I <br /> EH 06 06 3/71 11/83 500 <br />