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LAND USE RLPORT V <br /> Al'? # S—�'�< D <br /> To Be completed and Submitted by / <br /> Date Issued <br /> ADDRESS UtA ,,� �. �3 e5�3 S <br /> APPLICANT'S NANE ADDRESS <br /> PROPOSLD USE/CHANCE <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 Lt.Y41 � q, / Requirements sq. ft. A <br /> Public Water (name) ','�� Public Sewerage (name) <br /> SUMP'IARY OR CONIIENTS: <br /> 1. (�t"AV P, U. k � <br /> 2. <br /> 3. <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed Ca; <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval -Disapproval Continuance Q <br /> 1-411 <br /> -�-�.- L� �Nom---o� Li-'�-�•—•- �i'� .Y.�yy. U-�-��.-- <br /> EH o6 o6 3/71 <br />