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ll) <br /> LAND USE REPORT <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA O fG -- <br /> AP?LICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANCE <br /> In completing the LAW Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Savage disposal, water supplies, etc. Zara necessary, draw carr lett 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 eq. ft. <br /> Public water (name) Public Sewerage (name) <br /> SUMMARI OR COMMENT9e <br /> 1. 9✓5 /�Lol �� Gl� -Qi f^ �' ?l.G�IDh ��` <br /> 2. `! , <br /> 3. lis <br /> L . <br /> On basis of above, I recommend : Approval `De al Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval M Continuance a <br /> �1 <br /> EH 06 06 3/71 <br /> 11/83 500 <br />