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L kOu Ubr, REPORT <br /> AFP # Yet s � lJ P ge-j <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA I –loo 'Rg!- Ips {- S-\- 1 <br /> APPLICANT'S NA1•'fE ADDRESS <br /> PROPOSED USE/CIWIGE <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 /> ? Rl <br /> Size of Parcel �,,,z-k. Requirements sq. ft. <br /> Public Water (name)_ Ca 1 ;} �`M,'� ,� 6, public Sewerage name <br /> SUMARY.OR COMMENTS: J A/ <br /> s — <br /> 2. a'-e 5 d .� i u�' L; ec �. <br /> 3• go <br /> Oasis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval /Disapproval Continuance.Q <br /> ►-Z, � Ila- <br /> Eli <br /> la-Eli 06 06 3/71 11/83 500 <br />