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LAND USE REPORT <br /> APPTO Els coapleted and Submitted by -7 <br /> Date Issued <br /> ADDRESS UPA <br /> ArPLICANT'S NAM ADDRESSf ROPOSE D USE/CRANC£ l' 9 rA <br /> In completing the Lard Uae Lnveatigation draw all Public Health factors on the edaibit. <br /> �i•e•) Sewage disposal, water supplies, etc, <br /> area <br /> showing W�iere necessary, dray coapleto •asap of <br /> ng•Population- density, location of housed, wird diraotion, etc„ on as attached <br /> Piece Of plain paper, <br /> St" of Parcel Regairementa eq, ft. <br /> Public Water (name) Public Sewerage (cavae) <br /> SUMIART OR OC)MMmTS: <br /> 1 . � - <br /> 2. r <br /> r r <br /> 3. <br /> V. <br /> On basin of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance a <br /> l <br /> h - c� <br /> El' 06 06 3/71 <br /> 11/83 S00 <br />