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s' � LAIuD USn itiPUiiT <br /> AFP # <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA `� i <br /> APPLICANT'S NAME . ,� ,> ADDRESS <br /> PROPOSED USE/CHANGE Zee7 <br /> In completing the Land Use investigation draw all Public Health factors n 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 /> SU1*LkRY OR COMMENTS: <br /> 1. C <br /> 2. � <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> -7- <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance Q <br /> o. <br /> 3` HzQ /4 <br /> IV C a � Q <br /> EH o6 o6 3/71 <br />