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LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by 2 <br /> Date Issued <br /> ADDRESS UrA `� , < �' /'�� ��✓ t �� � <br /> AP?L ICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANCE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.C) Sewage disposal, water supplies, etc. Where necessary, draw complete *map of <br /> ares 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 /> SMMY OR MENTS:// <br /> 46 <br /> 4. <br /> On basis of above, I recommend: Approval eni Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval _Continuance a <br /> EH 06 06 3/71 11/83 500 <br />