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• LAND USE REPORT <br /> ! APP <br /> To Be completed and Submitted by 3 �� <br /> Date Issued <br /> C,�, r—. <br /> ADDRESS UPA - S /In Z-1�w � • C <br /> APPLICANT'S NA14E ADDRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Lard 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: <br /> 1. <br /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> rrOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval M Disapproval � Continuance <br /> y//M � �`M C/v �� "vP'n` �'IYhGC/V►'.t !'�"'4" /�'-�<✓ C.� � .. <br /> 6 <br /> Lii o6 06 3/71 C• ^�� 1 11/83 50; <br />