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_ LAND USI: REPORT <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA z U I S (,( r l� <br /> APPLICANT'S NAME e,, ADDRESS /• P �' //`l% �� •p _/ <br /> PROPOSED USE/CHAPIGE,�%r,4!�e <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 wind direction , etc., on an attached <br /> piece of plain pap ,p't�•FG+�j /,S <br /> E'�9•�'aE•c�S <br /> Size of Parcel <br /> "Zi, Requirements sq, f t. <br /> Public Water (name) Public Seworage (name) �°� <br /> SUMMATIY•OR COMMENTS: <br /> 2. <br /> On basis of above, I recommend:.> Approval Denial,< Continua co <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance'Q .; <br /> [lei IF <br /> l <br /> Ell 06 06 3/71 11183 500 <br />