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LAiJU USE REPORT <br /> APP #��/fi <br /> T <br /> To Be completed and Submitted by lt4? <br /> Date��IIssued <br /> ADDRESS UPA <br /> APPLICANT'S NAMX ADDRESS <br /> PROPOSED USE/CHANGE <br /> 77 <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit, <br /> (i.e.) Sewage disposal, water supplies, etc. Nhere 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 /> SUMHARY OR COMMENTS: - <br /> 1. C,sri.a�ovl 7"v t'& JdA- 431 57r'i�4T <br /> 3: tv <br /> Gst I � .��- T i•.J p� <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed �s-7 <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval El Disapproval p-Continuance Q <br /> ref �,.,����. -��-� G✓z� � _ �u.-�..��e <br /> EH 06 06 / 11/83 500 <br /> 3/71 <br />