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LA14D USE itLPO HT <br /> Al ij # /N51 <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA � <br /> APPLICANT'S 14AME 1 -ADDRESS `j U `T /+U 7 <br /> PROPOSED USE/CHAP+ ��J9�ir,n ZA,, <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 COMMENTS: <br /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval --'-'De al Continuance <br /> Signed 4��f <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraptr Approval Ej Disapproval Continuance Q <br /> EH 06 06 3/71 <br /> M <br /> I <br />