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LAND USE REPORT <br /> V APP y1--Z <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA ) — � <br /> APPLICAN'T'S 14AME ADDRESS <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 paper. <br /> Size of Parcel Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY.OR OOMMENTS: <br /> 1. .. <br /> 2. <br /> 3. <br /> 4. <br /> On basis of above, 1 recommend:..: Approval Denial Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance; <br /> • ��' �!'e., 0.w.. <br /> 04— <br /> All <br /> 4— <br /> a � �=`--•rte � <br /> EH 06 06 3/71 11/83 500 <br /> _, <br /> l <br />