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+ LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA 3.1 U,) Lo J � <br /> APPLICANT'S NAIL ,, it/cA Jo r O ! ADDRESS �Z 3 7 S i t, 14 r , -s C; <br /> PROPOSED USE/CHANGE <br /> In completing the Land Use investigation draw 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 Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) -- <br /> SUMMARY-OR COMMENTS: <br /> � <br /> 1. <br /> 2. 0 <br /> 4. <br /> On basis of above, I recommend: Approval )enial Continuance <br /> Signed �� .: <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance E] <br /> C <br /> 1, $ 7 <br /> afi ,41� � <br /> /dY <br /> ?R' <br /> EH <br /> EH 06 06 3/71 11/83 500 <br />