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(1) <br /> 4 LAND USE REPORT <br /> APP # 41• G <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA — <br /> AP P LI CANT'S NAME ADDRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (1.6,) Sevage disposal, water supplies, etc. Where necessary, draw complete map of <br /> area ahowing 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 /> SU*L RY OR 00MMENTS: <br /> 1. - Ie <br /> 2. <br /> 3. <br /> On basis of above, I recommend : Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval EZrDisapprovai M Continuance a <br /> EH 06 06 3/71 11/83 500 <br />