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(1) <br /> LAND USE REPORT <br /> APP # �� -- <br /> To Be completed and Submitted by ALL 7 <br /> Date Issued <br /> ADDRESS UPA f/hr_�:� �O�- A,,- ��, /�— <br /> A1,?LICANT'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 wap 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 /> SUMARY OR ODMMTS: <br /> 1. <br /> 2. - <br /> 3. <br /> 4. <br /> On basis of above, I recommend: Approval V Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY f <br /> Report to Planning Standard Paragraph Approval Disapproval ,Continuance <br /> fl <br /> EH 06 06 3/71 11/83 500 <br />