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t I <br /> LAND USE REPORT <br /> APP # �� 7 L� <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA 1� ri tk rh/* le— 5�V-en <br /> APPLICANT'S NAIL / /Strn L ADDRESS e�3�GU <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 i` Requirements sq. ft. <br /> Public Water (name) �i r' Public Sewerage (name) <br /> SUMMARY-OR COMMENTS: <br /> 1 tin e <br /> 2. <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 <br /> Lam, =,,�r � �s/ ,����'r> • 1 <br /> RICHARD "Dick" VANDE KIEFT <br /> l� TRI COUNTY BUILDERS. INC. <br /> 1128 RENO AVE., MODESTO, CALIFORNIA 95,451 <br /> Office: (209) 521-7443 <br /> EH 06 06 371 Res: (209) 524.2149 <br /> BUILDINGS <br /> License /285778 <br />