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LAND USE REPORT <br /> ti M 7 <br /> APP #�' <br /> rr <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA --71 I 111,,n �)v 3 a IV_ <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: <br /> 2. <br /> 3. <br /> 4. <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 1=1 Continuance,E] <br /> V%- �- <br /> a- zt , <br /> o � <br /> tie <br /> EH 06 06 <br /> ii/83 Soo <br /> L O� �lJ'�`O Ci.`� �,l lhl4 (r /l�►-Y�f b U ,�Ja / <br />