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LAND USE; REPORT <br /> • r wr �.. •• 1 APP S `/ ^ ••� ♦ •Y <br /> To Be completed and Submitted by I D -1a .Y•. <br /> Date Issued <br /> ADDRESS UPA S . c r c I <br /> APPLICANT'S NAME ,7bft��� 9i�Ey� ADD=,S <br /> PROPOSED USE/C[LUIGE � y�dE �1 a7'.c/.9Prr i°.9rlE,C��✓ t.�c�9�f�o9�P�'�` / �c^��i,�/O.sNil�/ <br /> In completing the La Iso investiga ion draw all Public Health factors on the exhibit. <br /> (1.e.) Sewage disposal, water supplios, etc. Where necessary, drag complete map of <br /> area showing population density, location of housed, wind direction, etc„ on an attached <br /> Piece of plain paper. <br /> ,,O +I 4,0 a:ayyoe.: <br /> Size of Parcel 4Z ee r Requirements sq, ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY-OR COMMENTS: <br /> 1. J <br /> 2. <br /> 4. • <br /> On basis of above, I recommend:.> Approval Denial Continuancg <br /> Signed �. <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance;Q <br /> AJ <br /> Eli 06 06 3/71 11/83 500 <br />