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LAND USE RITORT -- <br /> ,. '• <br /> ,� 1 'V <br /> APP # --Sj <br /> To Be completed and Submitted byJ' <br /> Date Issued <br /> ADDRESS UPA QL /j `S e A z <br /> APPLICANT'S 14AME l C,, ADDRESS s f <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 supplios, 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 00MMENTS: <br /> fv-74L,�,el(m <br /> 2 � - <br /> 3. <br /> 4. <br /> On basis of above, I recommend:.. Approval / Denial Continuance <br /> Signed <br /> .FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance'Q <br /> GU-L � .,v� 1/��-.-t .Q��=r-�-�%.� -e.... ...��-`7`�G, .mac.-��,:,.•s <br /> c.n 1 ems► l l 01cam-„ i <br /> EH 06 06 3/71 11/83 500 <br />