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�.dU�U u�r, ltlsl'U1C1' <br /> �\ AFP 11 I°` S - P%- fir) <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS uPn (4 �� k <br /> �- c 11 Can 1 <br /> APPLICANT'S NAbf1; _AbDRESS <br /> PROPOSED USE/CHMIM, <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 Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY.On COMMENTS: <br /> 1. J i7 el <br /> 2. L ✓C <br /> 3• <br /> On basis of above, I recommend: . Approval ­'�Dne_nnial Continuance <br /> Signed <br /> MR OFIZCE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance:a <br /> L11 06 06 3/71 11/83 500 <br />