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\1 / <br /> LAND US,', REPORT <br /> r <br /> APP # <br /> To Be completed and Submitted by <br /> (Date Issued <br /> ADDRESS UPA i A6 <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 /> 3, i / ✓ " <br /> On basis of above.,I recomane' "�"�r z "Approval Denial Continuance 2 <br /> T kv )�40 a S -e I S ,4P�Yox. Signed <br /> 01 �.��2 <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval�Disapproval Continuance, V. <br /> �' -- �• X3`1 _. <br /> EH 06 06 3/71 V 11/83 500 <br />