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a LAND USF, REPORT re <br /> APP y C f--K1 - ((o /TA <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA `C C C� -- <br /> APPLICANT'S VAMC - ADDRESS ' <br /> PROPOSED USE/CHALICE <br /> In completing the Lard Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplios, etc. Where necessary, draw complete map of <br /> area showing population density, location of housed, wind direction, etc„ on an attached <br /> piece or plain paper. ' <br /> Size of Parcel Requirements sq. rt. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY.OR 00MML'NTS: <br /> 1. <br /> 2. <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 /> �Ic. .cn � cf'• .. .. <br /> EH 06 06 3/71 11/83 500 <br />