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l <br /> LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by C) <br /> Date Issued <br /> ADDRESS UPA d <br /> APPLICANT'S NAI4E u S-O n 0 &u ADDRESS <br /> PROPOSED USE/CHANCE / ' "sf v Gl <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 / �- 7( r` Requirements sq. ft. <br /> Public Water (name) Vit : 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 /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval It] Continuance. <br /> EH 06 06 3/71 11/83 500 <br />