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0111 <br /> LAPID USE REPORT <br /> • APP # %�- <br /> To Be completed and Submitted by — � <br /> Date Issued <br /> ADDRESS UPA y' `� . �O� <br /> APPLICANT'S Tv AME / _ ADD SS �> <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 den ity, location of housed, wind direction, etc„ on an attached <br /> piece of plain paper. r <br /> Size of Parcel " Requirements sq. ft. <br /> Public Water (name) ��= z_ Public Sewerage (name) �' z <br /> SUMMARY OR COMMENTS: <br /> C UN V-( <br /> 77 <br /> On basis of above, I recommend: Approval '/ Denial Conti nce <br /> Signed %tee_ Qom,v: <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance Q <br /> 01 <br /> lie <br /> EH 06 06 4f1'73-1f1"-c•o c� `zr� 'L P��`��� <br />