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\y� <br /> S LAND USE REPORT <br /> APP # .SU <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA I ID 3 Iv a 5 H 1A <br /> APPLICANT'S NAME } (\; E7 C'E F{ f ADDRESS &C <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 Peer. <br /> Size of Parcel Requirements sq. ft. <br /> Public Water (r.2me) Public Sewerage (name) <br /> SUMMARY.OR COMMENTS: r <br /> a� b S laza <br /> 7 ,LF� 6 1-sr(a rAeLJ�/�lli�^ �'7�►. �!'✓L�! cv 1,� S�: lJll n�_ <br /> 3. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed c4 a <br /> U- <br /> T/7t 4�d <br />