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LAND USE REPORT <br /> e <br /> APP # <br /> To Be completed and Submitted by <br /> ? <br /> Date Issued <br /> ADDRESS UPA i 5- 7 U (�t e r L, L c k1 -4,l,� <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHA11GE <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.OR COMMENTS: <br /> �! y-C.C-4._ , <br /> JY- <br /> On basis of above, I recommend Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance, <br /> IL <br /> imp <br /> EH o6 06 3/71 11/83 500 <br />