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ADDRESS UPA <br />AYILICANT'S <br />PROPOSED USE <br />LAND USE REPORT <br />APP N SCG- J'S <br />To Be completed and Submitted by <br />Date Issued <br />In completing the Lard 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 <br />Public Water (name) <br />Requirements sq. ft. <br />Public sewerage (name) <br />4. <br />On basis of above, I recommend: Approval ✓ Denial Continuance <br />Signed <br />i <br />FOR OFFICE USE 014LY <br />Report to Planning Standard Paragraph Approval Disapproval r_1 Continuance Q <br />EH 06 06 3/71 11/83 500 <br />