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LAND USE REPORT 11 T p L t A T( ou) <br /> t <br /> \� APP # LA P <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA ,r L F C` L N U f4--k n C\ c C <br /> APPLICANT'S NAME l ��; s�k' s+ ADDRESS 5-0 b Nc- t-L. i p 1G 5u <br /> PROPOSED USE/CHANGE es--e,�b I, <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. -7 94- -Z'/�•� . <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 <br /> 1-31 s-erw Ie <br /> ll ie iugcwl '11-- 11w <br /> 41-Al <br /> EH 06 06 3/71 11/83 500 <br />