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LAND USI": ti1:PORT ,n �G A foo'l- <br /> i' APP /f <br /> To Be completed and Submitted by j— t 0 <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NALIE ADDRESS <br /> PROPOSED USE/CHANCE <br /> In completing the Lard 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) /(JcJ ".0 <br /> SUMMARY-OR COMMENTS: <br /> 2. v <br /> t /Ific <br /> On basis of above, I recomme Approval Denial Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> L11 06 06 3/'11 11/83 500 <br />