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LAND USE FZPORT <br /> APP # <br /> \l <br /> To Be completed and Submitted by C-� <br /> I Date issued <br /> ADDRESS UPA ST T,LK <br /> APPLICANT'S NA14E ADDRESS <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)&.k,r ,(, [., jj Public Sewerage (name) c;,� <br /> SUMMARY-OR COMMENTS: {ay <br /> 2. _IVU 5.2 i 7 r"7 rlYl d l/ LrJ ;. "I <br /> 3• <br /> On basis of above, I recommend:., Approval Denial Continuance <br /> Signed -TzoP �/ (1".".2"...� .-y r J l � <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval)'ZrDisapproval Continuance <br /> l - <br /> i,x o6 06 3/71 I I� 8 1 11/83 500 <br />