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LAND USE REPORT <br /> AFP # ��- Z2-fl�� <br /> To Be completed and Submitted by <br /> (� �J Date Issued <br /> ADDRESS UPA r� D `� C �L ��^1 u <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANGE <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 Zj a c Requirements sq. ft. <br /> Public Water (name) 4,nw6/`t: i vZl�Public Sewerage (name) <br /> T <br /> SUMMARY OR COMMENTS: <br /> 1. Vt. W- <br /> 2. Vc dt 4o <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval M Disapproval Continuance Q <br /> U <br /> EH o6 o6 3/71 <br />