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LAND USE REPORT <br /> PRS <br /> APP <br /> To Be coapleted and Submitted by <br /> Data Issued <br /> ADDRESS U1✓A •S/A <br /> ArOticAxT's NAME S7 f4�57 <br /> � woRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Land U 8 lmeetigation draw all Public Health factora on the axhibit. <br /> SGUage disposal, water auppliea, etc. W�iara necesaa dray <br /> ares mho �� comp le to 'sup o f <br /> ung•population- density, location of housed, wind direotion, etc„ on an attached <br /> Piece of plain paper. <br /> Size of Parcel Regairementa eq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMALRY 0R OO? NTS: <br /> 2 <br /> 3. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval �Diaapproval 11 Continuance a <br /> /3- a <br /> AUG 2 19 <br /> ENVIROMENIAI HFP.LrH <br /> FER,1?Ct EKVIi,cS <br /> E�' 06 06 3/71 <br /> 11/83 500 <br />