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1 C1) <br /> t � <br /> LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by �J d <br /> Date Issued <br /> ADDRESS UPA � / ��� - <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANCE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (1.80 Sewage disposal, water supplies, etc. Where necessary, draw complete wap 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 /> SUMMM OR OOMMENTS <br /> 2. <br /> 3. <br /> On basis of above, I recommend; Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval }Disapproval Continuance <br /> . , ( 0 . v� <br /> F ALj�, <br /> 4 <br /> � L <br /> 1 U <br /> 101 (�ej <br /> EH 06 06 3/71 11/83 500 <br />