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' LAND USE REPORT <br /> APP II_ C P-`� 3/ya Cts-Y' su-'I -JY <br /> To Be completed and Submitted by -1 7-f <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME ADDRESS `I 79 6,01"A;, y, T77, <br /> PROPOSED USE/CHAPIGE Q y o., <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)�q, Public Sewerage (name) L <br /> SUMMARY.OR COMMENTS: <br /> 74 <br /> 2. <br /> 3. <br /> On basis of above, I recommend:.• Approval Deni Continuance <br /> Signed t-S610— <br /> FUR <br /> OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance'Q <br /> 72.Eli 06 06 3/71 11/83 500 <br />