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' LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPAc7 SSS( LJ - <br /> APPLICANT'S NAME - ADDRESS <br /> PROPOSED USE/CfWIGE <br /> In completing the Land Use investigation draw all Public Health tactors 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 Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY-OR OOMMENTS: <br /> 1. <br /> 2. <br /> 3. <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: <br /> l <br /> L4 5� <br /> EH 06 06 3/71 <br /> 11/83 500 <br />