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• LAND USE' REPORT <br /> r c <br /> _ APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA 6_4 41, i, c-nom r <br /> APPLICANT'S NAME ADDREdS <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 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) Public Sewerage (name) <br /> SUMMARY.OR COMMENTS: <br /> 1. <br /> 2. <br /> 4. <br /> On basis of above, I recommend:.- Approval Denial Continuance <br /> C Signed <br /> C ... <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance' .' <br /> a <br /> ER O6 o6 3/71 11/83 500 <br />