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LAND USE REPORT <br /> • r ' <br /> I APP # 's I../ LM <br /> I <br /> To Be completed and Submitted by -31 ' <br /> Date Issued <br /> ADDRESS UPA L <br /> APPLICANT'S NAIL 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, 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 COMMENTS: <br /> 1. <br /> 2. <br /> 3• <br /> 4. <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 /> G U <br /> � , ) <br /> EH 06 06 3/71 11/83 500 <br /> �tc�q4-- <br /> 1z � q 00 <br />