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" I <br /> LAND USE REPORT <br /> r <br /> APP # <br /> To Be completed and Submitted by 110 <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME - M, a ADDRESS <br /> PROPOSED USE/CHANGE ". 1(�, 1 7 A� ►rah I� m, hr <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)N tAjo Public Sewerage (name) cPtjl <br /> SUMMARY,OR COMMENTS: <br /> 2. 1,4 33s-a' <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance.Q <br /> S �b/���m� <br /> EH 06 06 3/71 11/83 500 <br />