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LAND USE REPORT nn <br /> r APP N �'� �Ic' - UO ' :•. <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA L C) ' N �, � �' l_ �-4 <br /> APPLICANT'S 14AME ADDRESS <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. —Were 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 /> On basis of above, I recommend: , Approval _ Denial Continuance <br /> Signed ' <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph -Approval Disapproval p Continuance;q <br /> EH 06 06 3/71 11/83 500 <br />