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LAND USE REPORT <br /> P�F - Ap1b c orial <br /> k APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA >oc; s r Q454 C,„ �� 11 (�; c:., d Flood <br /> APPLICANT'S NAME 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 /> SUMMARY.OR lR '�COMMENTS: <br /> ✓<<t cr 4-c o 1-10 ct t L 11 <br /> 2 Si" NCA L 1 /1E /y -C cJ1 .- /� t <br /> 3• P� <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph ApprovaDisapproval Continuance <br /> ou"k <br /> EH 06 06 3/71 11/83 500 <br />