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LM1D USE REPORT <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA �1?.F PP( 1-, n 4 <br /> APPLICANT'S NAME II,(, ADDRESS <br /> PROPOSED USE/CHANGE /. i�:/.-y i f!%.•;+ <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 �/L/ Requirements sq. ft. <br /> Public Water (name) fL 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 Disapproval Continuance Q <br /> T\ <br /> Eli 06 06 3/71 11/83 500 <br />