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1.ANU U66 REPORT <br /> APP # x/1'1 S cyct S3 <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA a6 -71 -2— S. l� r �, +, i <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHA11GL <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 /> 2. <br /> 3• <br /> On basis of above, I recommend: Approval D r1i.a1 Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance' <br /> [lt{ o6 o6 3/71 11/83 500 <br />