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LAND USE REPORT <br /> AF i' # fig <br /> To Be completed and Submitted by //—%Q 41L <br /> Date Issued <br /> ADDRESS U�'A � - <br /> A?LICAI�T'S NAIL ADDRESS , /6 f 110A <br /> PROPOSi:D 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. d i'v At )"10 rii/0 <br /> Size of Parcel //, 2,7_)Requirements sq. ft. <br /> Public Water (name) -Public Sewerage name <br /> SUMMARY OR COMMENTS: <br /> C. <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval v Denial Continuance <br /> ,7- <br /> Signed (�u�►.c . <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval ��_ Disapproval Continuance <br /> EH 06 06 371 <br />