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t` LAND USE REPORT <br /> AFP # <br /> To Be completed and Submitted by �46 <br /> Date Issued <br /> ADDRESS UPA <br /> APPLICANT'S NAME ADDRES ,?O6� GCC,0 LJ <br /> PROPOSED USE/CHAP+GE <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, V j CtC re 1 Requirements sq. ft. <br /> Public Water (name) d e d Public Sewerage (name) <br /> SUMMARY OR COMMENTS: <br /> 1. cut/l'G Uji rilled`v" dtr r-( Y-V-", :d- V1 <br /> 2. Cy k r e,, t -e <br /> 3• 11 Gl64 ricked lr-tlfl khd Sc���. r rtilkw� �u �e ��l+y°Sr, f, <br /> On basis of above, I recommend: Approval De 'al Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraptr Approval 0 Disapproval Continuance Q <br /> 7�4 Al <br /> 71 <br /> cft Mj, <br /> EH 06 06 3/71 <br /> I <br /> i <br /> I <br />