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1 <br /> l LAND USE REPORT <br /> r , <br /> APP # �� c7✓ <br /> To Be completed and Submitted by S /s <br /> Date Issued <br /> ADDRESS UFA Z C: C)6tr K r <br /> APPLICANT'S NAME ADDRESSI _1L <br /> PROPOSED USE/CHANGE ,/Z1,0� S &)-114 <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 -7 Requirements sq. ft. <br /> Public Water (name) w- Public Sewerage (name) <br /> SUMMARY-OR /COMMENTS: ,! -6 / <br /> 1. l.l �C/I� fir?/i y2�t�1�' / G i' a kA-& CIG�1ayd ewdj I <br /> 2. / .Ser pl cc PV/ �, 'ri; lrh 2 �r <br /> 3• /1` Z S^�✓ m�y� ('imoqIii ?'f ,(k-r� tJ�/Cl�r� Pl C/l //J���i� : ✓ ,s.� <br /> 4. <br /> On basis of above, I recommend: Approval,, Denial Continuance <br /> Signed _ /�y►! i1. , <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance,0 <br /> .� <br /> lb <br /> EH 06 06 3/71 11/£33 500 <br /> v <br />