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,. LAND USE REPORT <br /> APP b L �( ?, -/C) <br /> To Be completed and Submittod by 3 - Z (o - J � <br /> 3yDate Issued <br /> ADDRESS UYA <br /> -f- . <br /> AP P LI CANT'S NAME ADDRESS <br /> PROPOSED USE/CWGE <br /> In completing the Land Use investigation draw all Public Health factors on the e1hibit. <br /> (1.e.) 3evage disposal, water supplies, etc. Where necessary, draw complete map of <br /> urea 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 /> SUMARY OR 0Ol4ENT3: <br /> 1. r -530 00/(,z.. i/ <br /> . <br /> 2. <br /> 3. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance a <br /> kjNr <br /> t <br /> M 06 06 3/71 11/83 500 <br />