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010 Af` LAND USE, REPORT <br /> _. . . APP <br /> Y To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME - ADDRESS <br /> PROPOSED USE/CWIGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (1.6.) Sewage disposal, water supplios, etc. Where necessary, draw complete map of <br /> area showing population density, location of housed, Kind 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 COMMENTS: <br /> � � �� <br /> _ <br /> CA <br /> 4. ( 1 <br /> On basis of bove, I recommend:.. Approval Denial Continuance <br /> Signed p <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance' <br /> 'E:J <br /> C-A a� a <br /> /\ <br /> crr— <br /> EH 06 06 V?1 <br /> 11/83 500 <br />