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F LAND USE REPORI _ <br /> AFP ## ?/ Q9'— 3G <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA 77/17 �� y� , - ��ti, <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 a-3/ K a}? Requirements sq. ft. <br /> Public Water (name) (:ik, c� S'1b��k Public Sewerage (name), <br />{ SUMMARY.OR COMMENTS: <br /> �t r 19 _ <br /> 1. /r��/,)c i,V t/,�.( or S e,, i 1a 77 pj. P'Pr m'j %�� �) / / !_ � 1 <br /> 2. Vr //�y r%lys/YV. �L�S/ (T Lry✓ T .f S,I.O'sr. d.-�-G�' ivy.c�tl' fn u-s T g+e <br /> 3• Q . o el cam, P� YU Le t c Wa�1r YSit✓�r� 0✓r/� />� r Gems% <br /> , �l I <br /> On basis of above, I recommend: Approval X Dem-al Continuance <br /> Signed <br /> y <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> a <br /> EH 06 06 3/71 11/83 500 <br />