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LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted <br /> Date Issued <br /> ADDRESS UPA <br /> APtLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHAT,'GE <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 /> Ciwo 'mzY'a' bi sj <br /> Public Water (name)=if/(,e Public Sewerage (name) ij rr � L . �, / <br /> SUMMARY OR COMMENTS: - <br /> Z' %.y�C�-�=z ,/'/-`_>�-a SP ,-z�.� e^) _1�Y,�-G ,,�a v( �i, C'✓�o[ Lci+ C,ls', <br /> 13• /> > p rf/.� .�, r/ ' l(J2 f-e y 5, L'4 a/,o/' rd Jr .2 <br /> ZZ <br /> On basis of above, I recommend: Approval _ Denial Continuance <br /> Signed � � �c9�z� c��f� 73 < S RZ <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval p Continuance Q <br /> z -9- <br /> EH 06 06 3/71 11/83 500 <br />