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o7 (1� <br /> LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by <br /> p / Date Issued <br /> ADDRESS UPA <br /> At,eLICAN T'S NAI-IE ADDRESS S � <br /> PROPOSED USE/CHARGE <br /> In completing the Land Use investigation Waw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplies, 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 c' %�a— Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY OR OOMMENTS: <br /> 2. Y n vIV <br /> �V <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval enial Continuance <br /> Signed .,, fj4 Ply' <br /> �. FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance Q <br /> EH 06 06 3/71 11/83 500 <br />