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• LAND USE REPOHT <br /> AFP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> Ai'?LICANT'S NAME ADDRESS <br /> PHOPOSED USE/CHAP+GE 1r1. �/l�f��1 ✓?Zi?1,.� �fG`' /Y _, <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 /> SU101ARY OR COMMENTS: <br /> 1. �.� G � �iy /lh�r��?G�'✓12 P.�. �JU_t�-C���(Gc. "-�4� li'��i�,�c C) <br /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval De 1 Cogttinuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragrapir Approval Disapproval Continuance Q <br /> EH 06 06 3/71 <br /> i <br /> I <br />