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,,� )t� <br /> LAND USE REPORT <br /> Af C # - �7- <br /> To Be completed and Submitted by 4'6 <br /> p� Date Issued <br /> ADDRESS UPA 6-1-21 e , <br /> APPLICANT'S NAME DRESS <br /> PROPOSED USE/CHANdE _ <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. c- __14 e <br /> _2f i -- <br /> 3• fit/' L/� y > <br /> �0 ry U L 1�� �i vc- iJ' ✓�J��iv X91 0 -c-e1�-�r� S 2�a,•-P�b. <br /> On basis of above, I recommend: Approval _ nDenial Continuance _ <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval a Continuance Q <br /> x <br /> i <br /> Eli U0 00 3/(i <br />