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LAND USE REPORT <br /> APP # M5 ( co ( ' <br /> To Be completed and Submitted by 3-10 —�y ' <br /> Date Issued <br /> ADDRESS UPA X 70 [kJ '� � 41 -F( '+ 1 l� <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHMIGE <br /> In completing the Lard 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 /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval eni.a Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval t7l Disapproval Continuance' <br /> LH o6 o6 3/71 11/83 500 <br />