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LAUD USE REPORT <br /> i <br /> APP # <br /> To Be completed and Submitted �� 3 <br /> Date Issued <br /> ADDRESS UPA - <br /> Ar e LI CANT'S NAME ,� fs'. �iG! �i ADDRESS <br /> P RO PO SED USE/CHAT!GE <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. f� <br /> H_�r.L J � �r �f� <br /> Size of Parcel .:L3,`' ?sem Req irements sq. ft. <br /> r ��' /fes+ " <br /> Public Water (name)� '/`I V� e (,U��- Public Sewerage (name) 7� /� -. �-5yn <br /> SUMMARY OR CONNTS: 11 <br /> G�/ / p <br /> dtV1,S1'0f1 o�-Iax? (r 5htU=L �/� l� G�Ct'S q--ha/S of J-7--cool. <br /> 2. o o l'' 5 f'fG( - <br /> 3• r�_ vt o L I D v� cmc = '�' �'►J'-� fir' <br /> 4. ►'�, s u t re <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> EH 06 06 3/71 11/83 500 <br />