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ll) <br /> LARD USE REPORT <br /> REVED> <br /> APP / IAP- Rte- t <br /> M <br /> To Be completed and Submitted by 1 3_B?9 <br /> Data Issued <br /> ADDRESS UrA o <br /> Ar?LICANT'S HANE ADD <br /> PROPOSED USE/CHANCE i?-14(i tiltLm`e rri � <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (L-e':) Saaage disposal, water supplies, etc. Ware necessary, draw complete -map of <br /> area sbowin`-POPUlation density, location of housed, wind dirootion, etc., on an attached <br /> piece of plain paper, <br /> Slee of Parcel <' r <br /> - Requirementa sq. ft. <br /> Public Hater (name) Public Sewerage (name) <br /> SUMLRI OR COMMENTS: <br /> 1r J f <br /> 2.7,L�/ G <br /> On basis of above, I recoa®end: Approval _ Danial Continuance _ <br /> Signed <br /> 3 <br /> FOR OFFICE USE OGLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance a <br /> EH 06 06 3/71 <br /> I1/B3 500 <br />