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z <br /> (1) <br /> *a ; LAND USE REPORT <br /> ! ,f <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA v� <br /> APPLICANT'S TdAME AbDRESS .0 <br /> PROPOSLD7 /CHAPGE L- � ' �.�° / L %� <br /> / <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 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 /> SUMhIARY OR COMMENTS: J <br /> 1. &U�,e JV x PC <br /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval D :nia Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance Q <br /> EH 06 06 3/71 <br />