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LAND USI. REPORT <br /> APP N �l� 'l5 2 g • <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA _ y y�7 S A- +(5,,, \P4 s s <br /> APPLICANT'S NAME - ADDRESS . <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 supplios, 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. ti's 41kl / s ,ins o�-i L/7C ' 20 71, OL4 a✓ce J . <br /> 2. . <br /> On basis of above, I recommerd:.> Approvalal Cgntinuance <br /> V/144 <br /> Signed <br /> MR OFFICE USE ONLY <br /> Report to PlannLng Standard Paragraph -Approval Disapproval Continuance'Q <br /> /.1 alw <br /> r v> w c� r..c(�,c c!z d `fit c s <br /> (2f'f�3� �,�� <br /> I �.C t t �-c U r1O�C✓ u G 6t+�t/G3 �L� � U <br /> EI{ 06 06 3/71 O 11/83 500 <br />