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(1) <br /> LAND USE REPORT <br /> APP # L.- I ' <br /> To Be completed and Submitted by - <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME AD S <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 5 fA C_qa Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY OR COMMENTS: <br /> 1. y:2 A 16 e„ gero '1� 'A4It7t^�jC P--dill <br /> 2. 4. ►�'o V ��Cvsx.� /i�/4 rs: 7 8 ✓C s r L ej 1"1V G <br /> 3' - 4" y v o d ✓UAW yi%J e'er <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance � t <br /> Signed s�. ; : / �•V g <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> tI2 <br /> � v3 <br /> � yN <br /> EH 06 06 3/71 11/83 500 <br />