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r LAND USE REPORT <br /> To Be completed and Submitted by 'o? � <br /> Date <br /> IIssued <br /> ADDRESS UPA _�Sr'�.5�.(- , �Z�Q_ p _fZ <br /> APPLICANT'S NAME ADDRESS <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 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: // 1 <br /> 2. /!� -„ Gz'� AV/­ <br /> 3. <br /> �`� � �( �, i 41 4,s <br /> 4. <br /> On basis of above, I recommend: Approval L--' De 1 Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Flaming Standard Paragraph Approval M Disapproval n Continuance Q <br /> i V�� <br /> EH o6 o6 3/71 /0"4 <br />