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LAND USE REPORT 1 <br /> APP <br /> TO 80 completed and Submitted by <br /> Date Issued <br /> ADDRESS U1 A <br /> A ,?LI CANT'S NAME <br /> NROPOSED USE/MANGE ADDRESS <br /> In completing the Land Uae imreatigation draw all Public Health factors on the exhibit <br /> 3eyage diapoaal, nater su lies etc, <br /> area sbo pp Khere neceesary, draw complete 'Sup of . <br /> X18'n papation deneity, location of housed, wird direction, etc„ on an attached <br /> Piece oL plain paper, . <br /> Size of Parcel f� L' Requirements eq, ft. <br /> Public Water (nar,�e <br /> ) Public Sewerage (name) <br /> SUMARZ OR — --- <br /> 00l4�N T3 <br /> 1 <br /> 19 cif r- '�C4 <br /> T ftz <br /> a � 'd <br /> Onbael�80 aboveT y .�► rcty� <br /> I recommend: Approvalp <br /> re A nial Continuance <br /> Signed <br /> i <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph g p Approval � Dlsappcoval a Continuance <br /> f4, X14� ,cam-/ ,U� orl <br /> /�fe"�v'^'' Gam,../ [nrt�o� � �C.rttih �('•�,�n.'�l <br /> 3, <br /> Eli 06 06 )/71 <br /> �-- 11/83 S00 <br />