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• r l :. �l� <br /> LAND USE REPORT <br /> AFP # <br /> To Be Be completed and Submitted byy- �} - <br /> Date Issued <br /> ADDRESS UPA ?., -7 1 �, NT <br /> APPLICANT'S NAME kc-)t3 E p�T H [A �,5�,C-)t j ADDRESS -1 -7 ip�A N T A <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. <br /> Size of Parcel Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY.OR COMMENTS: <br /> 1. <br /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed /'Zl <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval ZDisapproval Continuance Q <br /> 1 <br /> EH 06 06 3/71 11/83 500 <br />