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/\\` AFP # <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UYA <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Lard Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplies, etc. Where necessary, draw complete map <br /> area showing population density, location of housed, wind direction, etc„ on an atttt <br /> ached <br /> piece of plain paper. <br /> Size of Parcel )) Requirements sq. ft. <br /> Public Water (name) 11 : f"/�P �o d/u Public Sewerage (name) <br /> SUMMARY OR OOMMENTS: <br /> IL j <br /> 2 �1 � F- ✓ _lei. - <br /> s't <br /> r 0P�59�rt <br /> On basis of above, I recommend: Approval Denial Continuance �l�J <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Ej Disapproval Continuance a <br /> G V <br /> Eii o6 06 3/71 /�� <br />