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'^ ^ LAND USE REPORT <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA S7E- oo �� 1 <br /> APPLICANT'S NAME AbDRESS <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 C 4 s Requirements sq. ft. <br /> Public Water (name) L�441ic Sewerage (name) <br /> SUMMARY.OR COMt �NTS: <br /> 1 C L re- z2 <br /> 3. <br /> 4. <br /> On basis of above, I recommend: Approval _ Denials Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval n Disapproval a Continuance.F-1 <br /> C. � /VL'�/N�,n.t // l/� /wa..M�-c..H•.d Qom^/ ./�.P�^^"r.`-f . <br /> &-c l all <br /> /ad L <br /> r13 <br /> EH 06 06 3/71 11/83 500 <br />