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• LAND USI; REPORT �( <br /> 1 �;�j •• � APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA —/U CIO <br /> APPLICANT'S nmi - ADDRESS <br /> PROPOSED USE/CHAMGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplion, etc. Where 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 or Parcel Requirements sq, ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY.OR OOMMENTS: <br /> 1. • <br /> 2. <br /> On basis of above.. I recommend:.> Approvalni.al Continuance <br /> Signed w <br /> FDR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph -Approval Disapproval Continuance'Q ; <br /> • a <br /> •/i Ccs 6:;Cz <br /> 4a <br /> L <br /> � 7 j , <br /> EI{ 06 06 3/71 11/83 500 <br />