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LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA1 r <br /> �. c' � l/�t'i, j f (, �i<,;, �� to � f'r'cu 1,1, 2 <br /> APPLICANT'S NAIL ADDRESS <br /> PROPOSED USE/CHARGE <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 /> SUMMARY-OR COMMENTS: <br /> 1. G <br /> 3. <br /> On basis of above, I recommend: Approval enial Continuance <br /> Signed <br /> FUR OFr-10E USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance,Q <br /> ly <br /> 3, <br /> Eli m6 *6 3/71 `�� 11/83 500 <br />