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LAND USE REPORT <br /> • �� _ S'�w��P �f"� <br />.I •M'M ` -.� •.rlv'v�•• � � . • �� �l FAQ � •4 <br /> �� -�•. �`f'�`" APP // 0P <br /> IT yt:�- Src-'", <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA 4 3 2-3 Ai <br /> APPLICANT'S NA14E ADDRESS <br /> PROPOSED USE/CIWIGE <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-011 COMMENTS: <br /> 1. I qA2 z h 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 Plann.Lng Standard Paragraph Approval Disapproval Continuance; <br /> Y <br /> EH 06 06 3/71 11/83 500 <br />