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LAND USE REPORT <br /> APP N <br /> To Be completed and Submitted by <br /> -- Date Issued <br /> ADDRESS UPA 4 <br /> SU l — tv Z C� <br /> APPLICANT'S 14AME ADDRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplios, 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 of Parcel Z G Requirements sq. ft. <br /> Public Water (name) lifj'T�/ Public Sewerage (name) lc <br /> SUMMARY.OR CO14 <br /> �� <br /> 2. <br /> u. <br /> On basis of above, I recommend:. Approval Denial Continuance <br /> Signed _' <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance;Q <br /> EH 06 06 3/71 11/83 500 <br />