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(1.) <br /> LAND USE REPORT <br /> AFP #SIS --� <br /> To Be completed,and. Submitted by �' } <br /> Date Issued <br /> ADDRESS UPAS/ <br /> APPLICANT'S NAME ✓ ADDRESS <br /> PROPOSED USF/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 �3 Ae'� f ��t a Requirements sq. ft. <br /> Public Water (name)? Public Sewerage (name) <br /> SUMMARY OR COMMENTS: <br /> 1. r � � a l .� e s , <br /> tv <br /> 2. i�e P e — � S <br /> 3• �A r cc-eYvt ate, �i rtiel t✓�-� ��e� .a; use: <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance Q <br /> 0�1 <br /> i(,/1/I.tin,C �/)u m.�../ �(/(�tlil!/� i��''�ii✓� N"C �L i 2"A i J <br /> EH 06 06 3/71 <br /> I <br /> / I <br /> 1 <br />