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' (1) <br /> LAND USE REPORT <br /> APP # Ire - —✓) `� <br /> To Be completed and Submitted by :2 <br /> Date Issued <br /> AD D KESS U P A <br /> APPLICANT'S NAME 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 /> SUM ARY OR 00MMMTS <br /> 1. <br /> 2. <br /> 3. <br /> On basis of above, I recommend : Approval Denial Continuance <br /> Signed <br /> r )R OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance a <br /> 40 tic- C ts4C-ej Q �c�*-t.c g <br /> Po 13 1 cj3s , o A-) F V V2 !9 C-1, P YC-o p '- f` �-Y . <br /> Eh 06 06 3/71 11/83 S00 <br />