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' (1) <br /> LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by 2- <br /> -y— Date Issued <br /> ADDRESS UYA <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (1.e.) Sewage disposal, water supplies, etc. Where necessary, draw complete neap 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 /> SUMMARY OR COMMM TS: <br /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend : Approval ,/6e al, � Continuance <br /> Signed � �7,r <br /> FOR OFFICE USE OIALY <br /> Report to Planning Standard Paragraph Approval Ej Disapproval Continuance a <br /> s <br /> EH 06 06 3/71 11/83 500 <br />