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LAND USI: REPORT <br /> -� APP # <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA .. "i Z Z() L t -✓�. L�c,�u� ( <br /> APPLICANT'S NAME - ADDRESS <br /> PROPOSED USE/CHPIlGE <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 /> On basis of above, I recommend:... Approval boo" Denial Continuance <br /> Signed . <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph "Approval Disapproval Continuance' [:].,., <br /> � 1 <br /> ER 06 06 3/71 11/ 3 500 <br />