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LAND USE REPORT <br /> Okla /4� <br /> APP <br /> Ib Be cosipleted and Submitted by <br /> Date Issued <br /> ADDRESS U1'A S! — JFL X, k <br /> A '?LICAN T I S NAME �,,r�a s�' ADDRESS �C i <br /> PROPOSED USE/CHANCE <br /> In completing the Land Use iaveatigation draw all Public Health factora on the a-Xh . <br /> SeVage disposal, nater supplies, etc, <br /> area Showing- dere aeceaaary, draw coxplete 's6ap of <br /> n8'population- density, location of housed, wird direotion, etc„ on an attached <br /> piece of plain paper. <br /> 51" of Parcel Requirements eq. ft. <br /> Public Water (nom) Public Sewerage (nano) <br /> SUMARI OR OC)M NTS: <br /> 2. <br /> 3. f <br /> On bade of above, I recoaaaend: Approval Decrial Continuance <br /> 1 , <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval El Continuance a <br /> a PS <br /> AUG 2 19a <br /> ENVIROMENIAt Hf eLFH <br /> FERMi'jA-EKVtLcS <br /> El' ob 06 3/71 <br /> 11/83 500 <br />