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` l LAND USIA. REPORT , <br /> APP //'� S ct 0 X07 •. <br /> To Be completed and Submitted by �O " <br /> Date Issued <br /> ADDRESS UPA 1 �i o Oi IV A�, s r � . <br /> APPLICANT'S NAME J'ri ADDRESS <br /> PROPOSED USE/CNANGC � <br /> In completing the Land Use imeatigation draw all Public Health factors on the exhibit. <br /> (1.0.) Sewage disposal, water supplies, etc. —Were necessary, draw complete map of <br /> area showing population density, location of housed, wird direction, etc., on an attached <br /> piece of plain paper. <br /> -z - </o -1 ex,�S a yx�� <br /> Size of Parcel -z • �e Requirements sq. ft. <br /> Public Nater (name) Public Sewerage (name) 1110_11v< <br /> SUMMARY-OR OOMMENTS: <br /> 2. <br /> U. <br /> On basis of above, I recommend:., Approval Denial nti maanee <br /> Signed _ 6 <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance; .; <br /> y <br /> l � I <br /> EH 06 06 3/71 11/83 500 <br />