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1 . <br /> N LAND USE REPORT <br /> APP ` <br /> To Be completed and Submitted by .961 <br /> 7 <br /> Date Issued <br /> ADDRESS UPA <br /> APeLICAN T'S NAMEA ADDRESS <br /> PROPOSED USE/CHAT+GE <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 Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY OR COMIENTS: <br /> 1. <br /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> f. FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> At4T <br /> n� <br /> EH 06 06 3/71 11/833 500 <br />