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` LAND USE REPORT <br /> APP <br /> To Be completed and Submitted by - Ic, gCI. <br /> Cc <br /> Date Issued <br /> ADDRESS UPA G/S �'� C c 1"(f-L2_} R(?PC <br /> APPLICANT'S 14AME 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 7 r C v e 5 Requirements sq. ft. <br /> Public Water (name) V^, .;, e tVe_j(S Public Sewerage (name) c� s�e��_ t" <br /> SUMMARY.OR COMMENTS: � _ .� <br /> Go�a�o.� i S Pta", <br /> Pp� Tnf Cr! le <br /> 2. Car 12 1,fr�' [c t ) 7� e <br /> 3. <br /> On basis of above, I recommend:.. Approval Denial Continuance <br /> Cl ZOO J/e Signed ��- <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval M Disapproval Continuance' <br /> g1 <br /> clrzk <br /> EH 06 06 3/71 11/83 500 <br />