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LAND USls REPORT <br /> APP / <br /> To Be completed and Submitted by 7'/� <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/C;IWIGL' <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplios, 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 03M IECNTS: <br /> 2• Y 2 <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFIUCE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> �l <br /> EH o6 06 3/71 11/83 500 <br />