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LAND USE REPORT <br /> A.PP o�2U <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS U1-A AP P LI CANT'S N A}� <br /> - PROPOSED USE/C'l{ANCE• UDRMS <br /> ------------ <br /> In completing the Land Uae investigation draw all Public Health factors on the exhibit. <br /> Setiiage disposal, pater supplies, etc. <br /> mea showing-population density, location of Where <br /> nwi.ndadiro tionY etc le n'�p of <br /> Piece of plain paper, „ attached <br /> Si" of Parcel <br /> Requirements eq. ft. <br /> Public Water (name) ' <br /> Public Sewerage (tame) <br /> SUMARZ OR Ool4 M. <br /> 2. r <br /> r <br /> On basis of above, I reco=end: Approval Denial <br /> Continuance <br /> Signed <br /> f'OR OFFICE U5E ONLY <br /> Resort to Planning Standard Paragraph Approval ffD13approval Contlnuance <br /> 0— q)4 vjo�G�. Q"' G"4— <br /> Eh 06 06 <br /> 3C / <br /> 11/83 S00 <br /> l <br />