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' LAND USE REPORT <br /> APP / �`�r'I_(�, - �l- �,-SL/- %S <br /> To Be completed and Submitted by j�- 7 <br /> Date Issued <br /> ADDRESS UPA 30O IU 15 ;c, c <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANCE <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: z ` <br /> 2. <br /> 3- <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval 0 Disapproval Continuance, <br /> EH 06 06 3/71 � d � � `c i1783 00 C,- <br /> t �, <br />