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LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA 7 v7 - `F�G S c�r1 *vim / <br /> APPLICANT'S NAME AbDRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Land Uae investigation draw all Public Health factors on the eihibit. <br /> (i.e;) Sevage disposal, water supplies, etc. Where necessary, draw complete -map of <br /> area ehowing-population" density, location of housed, wird direction, etc,. on an attached <br /> Piece of plain paper. . <br /> Size of Parcel l CAp_,a- Requirements sq. ft. <br /> Public Water (name) �/LlvcC�¢ ' ,rl.Q Public Sewerage (name) <br /> SU*L,kR7 OR OD)OWTS: <br /> 1 <br /> 2. /p <br /> 3• 4� <br /> On basis of above, I recomme . Approval Denial Continuance <br /> Signed &4 1;;� 1'_1_ j <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval 0 Disapproval Ll Continuance Q <br /> C <br /> f� <br /> 3( <br /> Eh 06 06 3/71 11/83 500 <br />