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cls <br /> LAND USE REPORT <br /> P"2, <br /> APP # FJ�2 —; <br /> To Be completed and Submitted by <br /> Date Issued <br /> AD D HESS U 1-A Com/ s /✓�f� S� y' ;, a— ,�.�,` �� f <br /> AP P LI CANT'S NAME ADD RES1S <br /> PROPOSED USE/CHANCE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sevage disposal, water supplies, etc. Where necessary, draw complete map of <br /> ares showing populotion- 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 /> SUMHARY OR O0MKNT3: <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> On basis of above, I recommend : Approval Denial Continuance <br /> Signed <br /> rOR OFFICE USE Ot+LY <br /> Report to Planning Standard Paragraph Approval 0 Disapproval Ll Continuance a <br /> Eh 06 06 3/71 11/83 500 <br />