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LAND USE REPORT <br /> f <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UrA <br /> APPLICANT'S NAIL ADDRESS O <br /> PROPOSED USE/CHANGE d- <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 'f CUCt'(f_5 Requirements sq. ft. _--- <br /> Public Water (name) t Public Sewerage (name) l 45-L44 i c_ <br /> SUMMARY OR COMMENTS: <br /> 1. 2 ood. A&w 4('C <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 b Disapproval n Continuance Q <br /> LH 00 06 3//i <br />