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LAND USE REPORT <br /> \ . AFP # <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA Y 3(PS OaS-5 12c 1 " ct L <br /> APPLICANT'S NAME C,1, t1�LC��, �dfP.. ��p�r;:� ADDRESS `� �G'� LVA ,� �a -tie �-rQJ" <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 Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY.OR COMMENTS: <br /> 1. <br /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval ZDisapproval Continuance Q <br /> OVIJ17� <br /> w <br /> \4�^ <br /> � .2N Nv <br /> EH 06 06 3/71 11/83 500 <br />