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Ddu u U,Jl•. 1 Ua'U 1 l 1 <br /> AFP S - � 5 <br /> To Be completed and Submitted byj� 411 <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAML; <br /> ADDRESS <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 J2_3 Q L,L Requirements sq. ft. <br /> Public Water (name) ����� Wf 11S Public Sewerage (name)_ S d - <br /> SUMMARY.OR COMMENTS: �— <br /> .. s a h L. •� l� It C� <br /> On basis of above, I recommend Approval Denial Continuance S <br /> Signed _ ��• <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance: <br /> a <br /> e <br /> LIi 06 06 3/71 �� 11/83 500 <br />