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LAND USE' REPORT <br />�• APP N _ Cl <br /> To Be completed and Submitted by As tiff. <br /> Date Issued <br /> ADDRESS UPA S 7 S jL' i t-C_ 4 C <br /> APPLICANT'S NAME �,�� ,�, F 6j`�5&Q„l ADDRESS S ;� e • <br /> PROPOSED U SE/CHAP1 c?f'�� �. o •-�� f l'o,►(r��.s: yF � <br /> a�l�? <br /> In eomple ing the I:anso investigation aw ail Public Health tactors on the exhibit. <br /> (1.0.) Sewage disposal, water supplios, etc. Where necessary, draw complete map or <br /> area showing population density, location of housed, wind direction, etc„ on an attached <br /> Piece of plain paper. ' <br /> Size or Parcel ySsl Requirements sq. St. <br /> Public Water (Hama) ,?�?sr�� Public Sewerage (name)������/_ <br /> SUMMARY.OR COMMCNTS: <br /> 2. <br /> On basis of above, I recommend:.> Approval Denial Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph -Approval Disapproval Continuance;Q <br /> Eli 06 06 3/71 11/83 500 <br />