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LAND USE REPORT <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> AP P LI CANT'S NAMt ADDRESS <br /> PROPOSED USE/CHANCE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.a") 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 /> SUMARY OR OD?4ENTS: <br /> 1. <br /> 2. <br /> 3. <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 a <br /> file- <br /> Eh <br /> 06 06 3/71 11/83 500 <br />