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i LAND USE, REPORT <br /> e . <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME ADDR&S <br /> PROPOSED USE/CHANGE <br /> In completing the Lard 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 Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY.OR OOMMCNTS: <br /> 1. <br /> 4. <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 /> �p�t��..,.• ./"cam''�.�^ / `"`d,,,_o�-�/`"� oh— <br /> G�/tM/Ya a v ✓.//.*ti. Iu o o'_,%` ' 1 <br /> Ell 06 O6 3/71 <br /> 11/83 500 <br />