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LAND USE REPORT <br /> r , <br /> APP <br /> TO Be completed and Submitted by <br /> Data Issued <br /> ADDRESS UrA <br /> /srn � . <br /> n• CX') N1 r F r All Al lkT7 r h n P <br /> Ar?LI CAN T'S NAMErL L"' MDRESS <br /> PROPOSED USE/Q{ANGE n r L, P' F r r) Tr <br /> In completing the Land Uae iaveatigation draw all Public Health factors on the exhibit. <br /> (i•O.) Sewage disposal, water supplies, etc, dere nacesaa dray complete <br /> ar°a °h°wing-population- density, location of housed, wind direo�tion, etc,, on anattachedPlace of plain paper. <br /> Size of Parcel Requirements eq, ft. <br /> Public Water (name) Public Sewerage (name) <br /> SU1' URZ OR 0C)MmKNM- <br /> 2. ' r <br /> 3. <br /> L. <br /> On basi of above, I recommends Approval "" Denial Continuance <br /> Signed -e <br /> ------------------------------- <br /> FUR OFFICE U'-')E ONLY <br /> rL Lo Planning Standard Paragraph Approval Disapproval Continuance a <br /> kA <br /> t• ri 06 <br /> Eh <br /> ,;L. (3 � �� <br /> 06 06 3/71 <br /> 11/83 500 <br />