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LAND USI; RE'PORT <br /> Y <br />'•`, App /{ Q}� CZ C� ` <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA I 7 f �� ( �'�' C Le rvv"77 " <br /> APPLICANT'S NAME - ADDRESS <br /> PROPOSED USE/CILVIGG <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (1.e.) Sewage disposal, water supplios, etc. Where necessary, draw complete map of <br /> area showing population density, location of housed, wind direction, otc„ on an attached <br /> piece of plain paper. <br /> Size of Parcel Requirements sq, ft. <br /> Public Water (namo) Public Sewerage (name) <br /> SUMMARY.OR COMMENTS: - <br /> 2. <br /> Il <br /> On basis of above, I recommend:. Approval Denial Continuance <br /> Signed <br /> SUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance:[ .; <br /> 3 <br /> EI{ 06 06 3/71 11/83 500 <br />