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(1� <br /> LAND USE REPORT <br /> APP # vGG-y4� <br /> To Be completed and Submitted bX <br /> s <br /> �j Date Issued <br /> ADDRESS UrA �G <br /> A eLICANT'S NAMIE ADDRESS <br /> PROPOSED USE/CHANGE k.70CG d�_ <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 /> SUMKARY OR COARENTS: <br /> 1. <br /> 2. <br /> 3• <br /> 1►. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval M Disapproval Continuance E] <br /> C <br /> EH 06 06 3/71 11/83 500 <br />