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LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by e�� <br /> Date Issued <br /> ADDRESS UFA <br /> APPLICANT'S NAIL ADDRESS <br /> PROPOSED USE/CHANGE <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. ' t/ <br /> Size of Parcel _P14CAe 2r Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY.OR COMMENTS: <br /> - <br /> 2. <br /> 3• <br /> 4. . <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> rc/d e� ✓�; �/a„v�, ► c�,� �y�-off' �� <br /> �. ti <br /> EH 06 06 3/71 11M3 500 <br /> S/ Ar <br />