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AFP # C' <br /> To Be completed and Submitted by <br /> Date .Issued,Cas/ �� �{-Vd4 LA <br /> ADDRESS UPA _ (� <br /> APPLIGANT'S NAME ADDRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Lard Use investigation draw all Public Health factors on. the exhibit. <br /> (i.e.) Sewage disposal, water supplies, etc. Where necessary, draw complte map of <br /> area showing population density, location of housed, wird 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 COMMENTS: <br /> 1. -- <br /> 2. <br /> 3• <br /> On basis of above, I recommend: Approval ntDenial Continuance <br /> Signedy1� <br /> FUR OFFICE USE ONLY <br /> i <br /> Report to Planning Standard Paragraph Approval [11 Disapproval 0 Continuance a <br /> Eli 06 06 3/71 <br />