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y LAND USE REPORT <br /> ' APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA (A <br /> APPLICANT'S NAME - ; ADDRESS <br /> PROPOSED USE/CHANGE - <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 i s Requirements sq. ft. /4Jot/rj <br /> Public Water (name) G(Xl/ Public Sewerage (name) j� <br /> SUMMARY-OR COMMENTS: OF <br /> 2. <br /> 3. <br /> 4. <br /> On basis of above, I recommend:. Approval i/' Denial Continuance <br /> Signed ' J�G� <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> EH o6 o6 3/71 11/83 500 <br />