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LAND USE' REPORT <br /> \ APP //_ M <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME <br /> ADDRESS /t/• ✓ ;>, <br /> PROPOSED USE/CHAPJGE _ <br /> In completing the Lard Use investigation draw all Public Health factors on the exhibit. <br /> (1.0.) 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)__, Sewerage (name) <br /> SUMMARY.OR OOMENTS: <br /> 1. .. <br /> 2. <br /> 3. <br /> On basis of above, I recommend:-o Approval Denial Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph -Approval � Disapproval Continuance <br /> Q <br /> I <br /> EH 06 06 3/71 <br /> 11/83 500 <br />