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LAND USE, REPORT ` <br /> _. APP # SA - Ro- (0 <br /> .� To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME C <br /> ADDRESS <br /> PROPOSED USE/CHJUIGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplies, etc. hlhero 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 3s . 6 bac rt1 Requirements sq. ft. <br /> Public Water (name) ' C( ( <br /> SUMMARY.OR COMWNTS Public Sewerage (nape)_ -� <br /> 1. S /Z <br /> z. <br /> On basis of above., I recommend: Approval Denial <br /> Continuance • <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Reportt�anning Standard Paragraph Approval Disapproval - <br /> a= PP Continuance <br /> _. _ � _ lay IS t �, . . :: • <br /> WOO <br /> EH 06 06 3/71 <br /> 11/83 500 <br />