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LAND USE REPORT <br /> a <br /> APP /I 1o5 -- <br /> To Be completed and Submitted by 7-' I L1 <br /> Date Issued <br /> ADDRESS UPA 2 3 3 5 c> S '�L.t 5 } , V'i aq fq <br /> APPLICANT'S NAME t.1 <br /> PROPOSED USE/CWIGE /�%mss,¢�����✓iJ/o�f 1���ivy eJ'l /SA��F ,�-*��f ,� o �.— <br /> ��o / .?o.p,��F r�rTc Fti <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 _ s ,� Requirements sq. ft. <br /> Public Water (name) �/Pi�/.j� �/� �_ Public Sewerage (name) ✓'E��:/C. .<<, �,� <br /> —SUMMARY-OR COMMENTS: <br /> 2. <br /> 3• J'Ftr/ <br /> �. ! <br /> -- Al <br /> On basis of above, I recommend:.. Approval X Dem. Continuance <br /> Signed .�¢f <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance:Q <br /> i` '� .,��' i/plt iul/� !� /j' ,lam• ' //` '/A IZ4 did <br /> EH 06 06 3/71 11/83 500 <br />