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LAUD USE REPORT <br /> APP <br /> To Be completed and Submitted by - z -- <br /> Date Issued <br /> ADDRESS UPA /1 � <br /> Ar?LI CANT'S NAME ADDRES <br /> PROPOSED USE/Ci{ANGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> SeWage disposal, grater supplies, etc. Where necessary, draw comp leto map of <br /> area showing•populati.on density, location of housed, winds direotion, etc„ on an attached <br /> pisco ;atpiain paper. . <br /> Size of Parcel _ Requirements eq. ft. <br /> Public Water (name) Public Sewerage (name) Alo->�_o <br /> SUMA,'IF OR COMMMTS: <br /> 2. <br /> gf 7-M <br /> On basis of above, I recommend: <br /> Approval Denial Continuance <br /> Signed �' i <br /> FUR OFFICE USE ONLY <br /> ROPOrL to Planning Standard Paragraph Approval Disapproval Continuance <br /> El' 06 06 3/71 11/83 500 <br />