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LAND USE REPORT <br /> APP if <br /> To Be completed and Submitted by 46 <br /> / Date Issued <br /> ADDRESS UP �/E -W L!A„G;/ CFS <br /> AP?LICANT-S NAME C AUARESS <br /> PROPOSED USE/CHANGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e:) Savage 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 /> L. <br /> On basis of above, I recommend: Approval _ Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval MContinuance <br /> C5'v ir,?- 'j <br /> Y <br /> EH 06 06 3/71 11/83 500 <br />