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� (1) <br /> LAND USE REPORT <br /> APP # S— <br /> T <br /> To Be completed and Submitted by e-8 <br /> Date Issued <br /> ADDKESS UPA 19 93a xe'� <br /> AP P LI CAN T'S N AME ADDRESS <br /> PROPOSED USE/CHANCE <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 /> SUHHARY OR OOMMENTS: I - <br /> 2. <br /> 3• <br /> On basis of above, I recommend : Approval Denial Continuance <br /> Signed l <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval �z Disapproval Continuance a <br /> O <br /> EH 06 06 3/71 11/83 500 <br />