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LAND USE REPORT to <br /> let:: �P/"�-�I t <br /> AFP # I A <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NA14E I �:,; ADDRESS oro 4 4t)) 1, i dod �tkk of 2 y0 <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 Requirements sq. ft. <br /> Public Water (name) � ' Public Sewerage (name) <br /> SUrMMY.OR COM ENTS: _ <br /> 2. <br /> 3• <br /> On basis of above, I recommend: Approval / Denial Continuance <br /> Signedf�' <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> EH 06 06 3/71 11/83 500 <br />