Laserfiche WebLink
r.• it 17 C�- _.L(1•J'i' <br /> To Be completed and Submitted by <br /> Date Issued <br /> n <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/Ci X.E <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 /> .g -_-1 U <br /> n basis of abovomruend: Approval Denial Continuance <br /> e, rec <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Flanning Standard Paragraph Approval Li Disapproval Continuance a <br /> k.n rAl,,� /� oM.J� <br /> 4,W�L✓L B6/y � v"� V'�- RIC C�i�1•✓ �� '�I /'/' <br /> Eli 06 06 3/71 �— <br /> ��. <br /> l <br /> /L c v /Q <br />