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LAND USE: REPORT <br /> TO Be completed and Submitted by <br /> Data Issued <br /> ADDRESS U1-A <br /> MrFE �a <br /> AJ'OLICANT'S NAME c ADDRESS <br /> PROPOSED USE/CHANCE ' f r `L,-L jjL <br /> In completing the Land Uae investigation draw all Public Health factors on the exhibit. <br /> (1.e-,) Sewage disposal, water supplies, etc. <br /> area mho dere necessary, dray complote 'atiap of <br /> wing•population density, location of housed, wind direction, etc„ on an attached <br /> place of plain paper. , <br /> Size of Parcel Requirements eq. ft. <br /> Public Water (name) public Sewerage (name) <br /> SUMIRT OR CC))Q 21T9: <br /> Z•GW <br /> On basis of above, I reco=end: Approval "ADD nil Conttmence <br /> Signed '7v7 �' '`f es <br /> i <br /> FUR OFFICE USE ONLY <br /> Report Lo Planning Standard Paragraph Approval Disapproval Continuance a <br /> 1V <br /> 4;� I0 <br /> Fh Od 06 3/71 <br /> 11/83 S00 <br />