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LAND USE REPORT <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPAl <br /> APPLICANT'S NAME��/..�y'�E���i� F� ADDRESS <br /> PROPOSED USE/CfWIC �� "" r ' S'S o <br /> ell if <br /> �o-iste..c-� <<- �r�r '°'� .G1rc i Jv.� as•e�/S,ar�,•� <br /> In completing the rid Use stlgat on draw all prbllc Health factors on the exhibit. <br /> Sewage disposal, water supplies, etc. Where necessary, draw complete map of <br /> area showing population density, location of housed, wind direction <br /> Piece -of-plain etc„ on an attached <br /> of,plain paper. <br /> Size of Parcel Requirements sq. ft. <br /> Public Water (name) '4” public Sewerage (name) <br /> SUMMARY.OR 00MMENTS: <br /> 1. C <br /> 2. ev <br /> 3. <br /> / <br /> --..w..,.,.....L........_ �F r/ <br /> 4. <br /> On basis of above, I recommend:.- Approval Denial Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report tO PlannLng Standard Paragraph Approval Disapproval Continuance* <br /> EH 06 -06' 3/71 <br /> 11/83 500 <br />