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LAND USE REPORT <br /> APP y <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA moo' FL X6 <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Lard Use investigation draw all Public Health factora on the exhibit. <br /> (i.e:) Sevage disposal, water supplies, etc. Where necessary, draw complete map of <br /> area showing-population density, location of housed, wird 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 /> SUl44ARY OR OO*12NT3• - <br /> • r <br /> - , ' U � . <br /> On basis of above, I recd ►end: Approval Denia Continuance <br /> Signed <br /> s <br /> ,._ '1 <br /> • �� s��""'"' OFFICE USE ONLY v '�3� <br /> Report to Planning Standard Paragraph Approval r7/1 Disapproval Continuance a <br /> C <br /> VA- .. OV, <br /> u <br /> kre- <br /> �- C-- a,--k <br /> Eh 06 06 /71 ���� 11/83 500 <br />