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LAND USE REPORT <br /> ' APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME UYr ADDRESS 22 0,/ be <br /> PROPOSED USE/CIWIGE <br /> In completing the Lara Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplios, 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)_ %t(jj Public Sewerage (name) �. 1I . <br /> SUMMARY.OR COMMENTS: ' <br /> 1. SPL y OrGli S` S Ji a e;/ .. <br /> 2• <br /> 3. <br /> 4. <br /> On basis of above, I recommend:.i Approval Denial V/ Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance:Q <br /> '0 <br /> EH 0 " . <br /> 6 O6 3/71 11/83 500 <br />