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LAND USE REPORT <br /> APP # 9 7 <br /> To Be completed and Submitted by <br /> 1 Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAIE ADDRESS <br /> PROPOSED USE/CHPJIGE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplies, 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 Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY-OR COMMENTS: <br /> 1• _ _� <br /> 2. <br /> 3• Cfh /� . <br /> On basis of above, I recommend: Approval De al Continuance <br /> :�G� Signed <br /> , j <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval [EDisapproval Continuance, <br /> Q � J <br /> EK 06 06 3/71 ��«'�g l 11/83 500 <br />