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' LAND USI, REPORT , <br /> APP N <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA �So,�4�'� r�r Kg,4 Z c <br /> APPLICANT'S 14AMC 0 ADDRESS <br /> PROPOSED USE/CHANCE <br /> In completing the Lard Use investigation draw all Public Health factors on the exhibit. <br /> (i-c-) Sewage disposal, water supplios, <br /> Piece of plain paper. etc. 1 ero necessary, draw complete map of <br /> area showing population density, location of housed, wind direction, etc„ on an attached <br /> Size of Parcel Requirements sq, ft. <br /> Public Water (name) i' Public Sewerage (name) <br /> SUMI4ARY.OR COMMENTS: <br /> 1. Tr o / <br /> A ri< <br /> . .. T/ e eXr S.t..L .._t u? i �.��// .v� ILsT �nGJ ted a .en:wi:6-fz / <br /> 4. D . -r- T U J Agg c p Zk j <br /> On basis of above, I recommends. Approval Deni Continuance <br /> Signed „�" % 1V—",'ib,S <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval [= Disapproval p Continuance. <br /> EI{ 06 06 3/7111/83 500 <br /> - w <br />