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LAND USE REPORT <br /> Gy2Cl / APP # <br /> To Be completed and Submitted by <br /> /Date Issued <br /> ADDRESS UPA ( 7 7 S ! S L4A <br /> C l /-( /iV'v;� (2 <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, etc9j on an attached <br /> piece of plain paper. <br /> Size of Parcel Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY.OR COMMENTS: <br /> A // <br /> 1. ��� E'Z' e`' n' 7 lv114 3 .v <br /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend:.- Approval 41"�Denial Continuance <br /> /q , 6 �s �L,,Signed <br /> , 41 <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> EH 06 06 3/71 11/83 500 <br />