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LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by <br /> Date Issued <br /> - <br /> �-1 .S (L� G f= `�L� ° S�1- , '-1�l ,�(� ( �`,�', � ��r -7rL <br /> ADDRESS UPA S i <br /> APPLICANT'S NAIL i ,+n . r1 t Lf- ADDRESS l Sri �33 S1vTNt-7-( �D <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 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. <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 /> C�&0--7 <br /> LJ CK ✓WI � /'f J1LtM� V� (A'--./ .'LU/j_ �'^ /`i 1 � //�a�C/tn �.�'�2tv� <br /> EH 06 06 3/71 11/83 500 <br />