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LANU U66 AL VUltr <br /> AFP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS U PA <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANGE- <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 U�,�� Requirements sq. ft. <br /> Public Water (name) Ccj. ( �,U L� Public Sewerage (name) E,4 <br /> SUMMARY.OR COMMENTS: �� 5,.,. <br /> 1. la _,L o�j <br /> 2• En f. LA; %0--%.) ( b <br /> On basis of above, I recommend:.. Approval Denial Continuance ^� <br /> Signed <br /> S <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph -Approval � Disapproval Continuance: <br /> CP <br /> u.A,� <br /> Esti 06 06 3/71 11/83 500 <br /> i <br />