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LAND USE REPORT <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME y 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. 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 /> SUMARY.OR COMMENTS: <br /> 1. <br /> 2. <br /> 3. <br /> 4. <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 Continuance: <br /> . 00V a. <br /> U-E�9- <br /> C . a- 7 Q. — <br /> t, <br /> Srwesr SySC Ca.� Oy l` uSr� <br /> P dvwrcT�/c _���/cw�,rr►�r� ptvx a+ f"ss <br /> 6 �/�It 4�r�r•� 49� �h t• I��t►'C r fl�a.� /�CPO✓�°�. <br /> Eli 06 06 3/71 i i/ v 500 <br /> ' J <br />