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• . ' LAND USE. REPORT <br /> w <br /> ` APP N S (4 Ci 0 <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA �U�/VU fk/ u, G 4- <br /> APPLIAN <br /> CT'S NAME n.,. c ADDRESS ✓ eci <br /> PROPOSED USE/Cl1ANCE /;7-- <br /> In <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplios, etc. W ero 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 Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) P is <br /> SUMARY.OR COMMENTS: <br /> On basis of above, I recommend: Approval / Deni 1 Continuance <br /> Signed �C, �: <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance Q <br /> Eli o6 06 3/71 11/83 500 <br />