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LAND USE REPORT <br /> iC �J <br /> APP # �?/J S Fy X33 <br /> To Be completed and Submitted by �� r 2- <br /> Date <br /> Date Issued <br /> ADDRESS UPA CG5- S�'df_ �( I�, o Soy., �e �, r u7"Y. Zoc.le A <br /> APPLICANT'S NAI4 ADDRESS <br /> PROPOSED USE/CHANGE <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: �X�- I i/-1 Cf <br /> 2.- <br /> On basis of above, I recommend:. Approval Denial Continuance s� <br /> Signed �7 U'�p GL.- ✓ 2 - L��� <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance � . <br /> (Ile C. �IitAl�it'.NVutn/br. �© / '".Z�Mb✓\ <br /> �� �"• CIL r..w...t V`aJ/ �j +� 4.4 6C <br /> �,/yit'nvv./NR ��`-' �G.C/I o+'1^.. � �/�,(�f C�Ar �T�✓' . <br /> EH 06 06 3/71 11/83 500 <br />