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LAND USE REPORT <br /> -v APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA L c, 3 C:�t <br /> APPLICANT'S NAME - ADDRESS <br /> PROPOSED USE/CHVIGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplios, etc. Where necessary, draw complete map of <br /> area showing population density, location of housed, wiuid 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 /> 72 <br /> 1. 12 ca c. <br /> —b, ®o t. 1 Gl'1'_..P I-ej /9 <br /> On basis of above, I recommend— Approval � Denial Continuance <br /> OUCV. <br /> crM /� 1-pm t-� S,v rA Z /X, Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph -Approval = Disapproval Continuance; <br /> 3. e�, <br /> Eli 06 06 3/71 11183 500 <br /> 16 <br />