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(1) <br /> LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by �-��— <br /> Date Issued <br /> ADDRESS UPA <br /> APi'LICANT'S NAME e_' L` A �i ` ADDRESS 1�61• ym <br /> PROPOSED USE/CHAT+GE ,c ui c_ e_";;Ae 4-1 <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) 1 Public Sewerage (name) r- _ <br /> SUMMARY OR COMIENTS: u� nn <br /> 3• r\ a� V. <br /> On basis of above, I recommend: Approval ✓ e Continuance <br /> ' #w�j <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> 3 zG <br /> EH 06 06 3/71 11/83 500 <br />