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(1) <br /> 1A—ND USE REPORT <br /> APP N �-��, �'3;` ?a -FP—L 2- <br /> To <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> AP P LI CANT'S NAME 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 /> are+ 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 OO?M�NTS: <br /> 1 jb a <br /> 2 <br /> 3. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed kQ- <br /> FUR OFFICE USE Ot+LY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> ��- �AL LAV.1" <br /> \;�4 N� <br /> egg <br /> DC % <br /> ,7rvftv <br /> EH 06 06 z 3/71 11/83 500 <br />