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LAND USE REPORT <br /> r <br /> APP # <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UFA <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANCE <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) S' �= , ,_, Public Sewerage (name) 5C. <br /> SUNMARY.OR COMMENTS: JJ <br /> 2. <br /> U. �� ��J S i c- ` �/ n• y'{ �i• 7�5.,- � //1.>��-h p b.Y•i.1 ;'}- ^.,� 1�11.� 'tat +T �' i►"i-., �j'l d�j� <br /> On basis of above, I recommend: Approval �( enial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval M Disapproval Continuance,Q <br /> AX <br /> I;Ii o6 06 3/71 11/83 500 <br />