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• ll ) <br />�- LAND USE REPORT <br /> re visI p <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UrA <br /> Ar?LICANT'S NAME <br /> PROPOSED USE/CMN Ll nen r �pf/ C f— ADDRESS <br /> �7 <br /> In completing the Land Uae investigation draw all Public Health factors on the exhibit. <br /> 3eVage disposal, water supplies, etc. dere necessary, dray <br /> meOf <br /> a ahOwirB•populatiotr density, location of housed, wind direotion, a c,,e n annpattached <br /> Piece of plain paper. <br /> St" of Parcel Requirements eq. ft. <br /> Public Water (naza) Public Sewerage (tame) <br /> SUl4{iRZ OR 00MMENT3- <br /> L�_rtl� (apt " �w'f <br /> 2. <br /> 3. <br /> On beak of above, I recommend; Arowel <br /> PP Decrial Continuance <br /> Signed <br /> f <br /> FUR OFFICE USE ONLY <br /> Resort to Planning Standard Paragraph Approval 0 Disapproval Continuance a <br /> Eh Ob 06 3/71 <br /> 11/83 500 <br />