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LAND USE REPORT <br /> APP # /-V <br /> To Be con feted and Submitted b <br /> P y <br /> Date Issued <br /> ADDktF,SS UPA -"�qO Q _ <br /> APPLICANT'S NAME ADDREDSS <br /> PROPOSED USE/CHANGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e:) Sevage disposal, water supplies, etc. Where necessary, draw conplete 'map of <br /> area showing population density, location of housed, wird 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 /> SUMMU OR ODMENT3: <br /> 1. <br /> 2. <br /> 3• <br /> 6. <br /> On basis of above, I recommend : Approval Denial Continuance <br /> Signed <br /> f)R OFFICE USE Ot+LY <br /> Report to Planning Standard Paragraph Approval 0 Disapproval Continuance a <br /> �lll C�'�^G�( C <br /> 3 � e� <br /> Eh 06 06 3/71 11/83 500 <br />