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f ll) <br /> r LARD USE REPORT <br /> 1` - <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS Ul•A -7(nD.l E. LATI-I Rc�1> Rb n r A n , n <br /> AOP SED U 'S HAMCRAN SER\N k t'l 5"kL PLA ADDRESS -7 Ir U) f ✓Lru P C)b <br /> PROPOSED USE/CiUNCE <br /> In completing the Land Use imieatigation draw all Public Health factors on the exhibit. <br /> ("0'*) Savage disposal, water eupplles, etc. Zara necessary, draw complete -map of <br /> area ahowini PoPulstion density, location of housed, wind dirsotion, etc,, on an attached <br /> Place of plain paper, <br /> Size of Parcel Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMAR7 OR OoM)(KNT9: <br /> 3. <br /> 4. <br /> On basis of above, I recommend: Approval 'Denial Continuance _ <br /> Signed ��d .. <br /> FUR OFFICE USE ONLY <br /> Report Lo Planning Standard Paragraph ApprovalXDlsapproval 11 Continuance a <br /> eo" 1 ,#-SC) <br /> y � x53 <br /> EN 06 06 3/71 <br /> 11/83 500 <br />