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LAND USI; REPORT PV— <br /> AP P <br /> # E2'1— .27 <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA S ( S H-(Ar�s , <br /> APPLICANT'S 14AME ADDRESS <br /> PROPOSED USE/CHMIGE <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 00 <br /> 2. <br /> 3• <br /> On basis of above, I recommend: Approval �enial_ Continuance <br /> Signed r l <br /> II-OR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval F77I Disapproval Continuance: <br /> Eli 06 06 3/71 11/83 500 <br />