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LAND USE REPORT , <br /> t s <br /> APP // 7'- <br /> To <br /> -To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA !So (�„✓ �� <br /> APPLICANT'S 14AME ADDRESS z& /U. Lo9 J^Z/G <br /> PROPOSED USE/CHANGE /%mc C� e?��1�n G, <�,, , ('��. << a �•^� t�t <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplios, 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 (nam Gf/ / Public Sewerage (name),- <br /> SUMMARY.OR OOMMEN , <br /> 2. <br /> 3. <br /> On basis of above, I recommend:.o Approval✓ Denial Continuance <br /> Signedf� <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance;Q <br /> EH 06 06 3/71 11/83 500 <br />