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r <br /> j� LAND USI; REPORT <br /> • APP /{ <br /> �a -33 <br /> To Be completed and Submitted by <br /> Data Issued <br /> ADDRESS UPA 3 Uv / / (i Y-J `t/l �� _ <br /> APPLICANT'S NAME jf ,y• ADDRESS <br /> PROPOSED SE/CHA IGS/6c 'F-, "', <br /> ompllet <br /> In ing the La Uso Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplion, etc. Where necessary, draw complete map of <br /> area showing population donsi.ty, 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) -���/��E ✓��%�fffF,.� <br /> SUMN RY.OR COMMENTS: . <br /> 2. 1 �o n' /�rr f f �� -j- <br /> r <br /> fr <br /> On basis of above, I recommend:, Approval Denial Continuance <br /> Signed . ^ <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph -Approval Disapproval Continuance;Q <br /> a <br /> .\ 1\ J Y , <br /> El{ 06 06 3/71 11/83 500 <br />