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LAND USE F.EpC?HT <br /> ' AFP ## SJ <br /> To Be completed and Submitted by d <br /> Data Issued <br /> ADDRESS UPA cx�- <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/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 1 Requirements sq. ft. <br /> Public Water (name) &--n-e- Public Sewerage (name) , ? <br /> SUMMARY OR COMMENTS: <br /> u►��� ��c.Ps C y' � �ar,.,/ C a/I�pxjj n�,,.n�!/ rea4r ►a„ 3je <br /> / GLire P r s e <br /> 2.-P'P-/ I/'-le eve. 4 mall f brow<ri�es� u�•�i; varvyu� <br /> 3- TI-e S i r t <br /> �uSa/ a ✓r /fIt�>/� i.e A VZ' Al"teTLa.'r?4i /!kie'r <br /> 4. T— <br /> On basis of above, I recommend: Approval _ y� Denial Continuance <br /> Signed <br /> KR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval a Disapproval LI Continuance Q <br /> la: <br /> fi n �T i WCA, k K <br /> EH 06 06 3/7�� 4,f . <br />