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AEW # <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS U YA <br /> APPLICANT'S NAME ADDRESS <br /> ?RDPOSED USE/QWiGE <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 complte 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 /> SUMARY OR COMMENTS: <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 M Disapproval Continuance a <br /> C3G 6� A . <br /> Eii 06 06 3/71 <br />