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` LAND USE REPORT <br /> APP y IYI <br /> To Be completed and Submitted by q �� C'r <br /> Date Issued <br /> ADDRESS UPA 1 l L U v v l� �4'101, <br /> APPLICANT'S NAME / r ADDRESS 449�' off' �e''OJ�o •�i�1 =,,Ef�% S- <br /> PROPOSED USE/CHANGE/0,' fd�u�Y ��� tom=✓ ��a,l/�.�c�/i�o�.0.��'Ef ��02 �����.Q��a�s/Eii��/ <br /> In completing the Lard Use investigation draw all Public Health factors on the exhibit. <br /> (i.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, o v1J<s.es i<.: `� '"/ ""/-0/ <br /> Size of ParcelR <br /> / <br /> ., equirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMKARY.OR COMMENTS: <br /> I. <br /> 2. <br /> 3• <br /> On basis of above, I recommend:.. Approval Denial Contir <br /> Aanco <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Plaming Standard Paragraph Approval Disapproval Continuance:[ <br /> EH 06 06 3/71 11/83 500 <br />