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(1) <br /> LAND USE REPORT <br /> APP # Zr <br /> To Be completed and Submitted by 3 <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME ADD S <br /> PROPOSED USE/CHANCE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (1.e.) Sevage 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 0014CN TS: <br /> 1. <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 Disapproval Continuance a <br /> D� <br /> EH 06 06 3/71 11/83 500 <br />