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OR (1) <br />LAND USE REPORT <br />APP # <br />To Be completed and Submitted by <br />Date Issued <br />ADDRESS UPA �/ / 5'Qy z,�GL'/�- <br />AP2LIGANT'S NAME ' ADDRESS �? <br />PROPOSED USE/CHANGE <br />In completing the Lairs 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 />Requirements sq. ft. <br />Public Water (name) Public Sewerage (name) <br />SUMMARY OR COMMENTS: <br />1. ✓1,.� �.���-o � __�: ��-.w ,, a._ � � ,� � . <br />2. <br />3. <br />4. <br />On basis of above, I recommend: Approval _4__ --Denial �- Continuance <br />Signed A�Cn<Zc <br />FOR OFFICE USE ONLY <br />Report to Planning Standard Paragraph Approval M✓ Disapproval 1:1 Continuance <br />1) 72 G <br />2) >h P <br />EH 06 06 3/71 <br />11/83 500 <br />