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IABD USE REPORT <br /> t � <br /> 7„ 5 F APPS <br /> "T Y� To Be completed and Submitted by <br /> '# a <br /> Date Issued <br /> s <br /> I <br /> ADDRESS UPA <br /> AP?LICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (1.e,) Sewage disposal, water supplies, etc. Where necessary, draw complete wap of <br /> ares showing-population- density, location of housed, wind direction, etc„ on an attached ° <br /> piece of plain paper. . <br /> Size of Parcel -� �'U�V Requirements sq. ft. <br /> Public Water (name)�n,p,, ✓o ,r Public Sewerage (name) ;u <br /> SUMMARY OR OOMMTS <br /> {jam <br /> 2. <br /> h„& <br /> 3. <br /> On basis of above, I recommend : ApprovalPad al Continuance <br /> 3` Signed <br /> 'W, <br /> 4 <br /> FOR OFFICE USE ONLY x <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance 0 � <br /> r / r of ' tt <br /> Q 3 <br /> �'�"r+,�•-'i Ute��^ A'10.6 �i �a�[z/1 �t/�'�"' b �f 'V ” /' c't.•L//�YC' <br /> k W. L12 cit C -4—.0 .., . <br /> S <br /> �4:� <br /> bs <br /> _ ani � <br /> EH 06 06 3/71 , 11/83 500 a <br /> 1-7 <br /> 4 i <br />