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LAND USE REPORT <br /> APP # <br /> To Be completed and Submitted by <br /> 9 Date Issued <br /> ADDRESS UPA (P 3�( �' Lin c'; In S n <br /> APPLICANT'S NAM ADDRESS <br /> PROPOSED USE/CHANGE <br /> In completing the Land Use investigation drag 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 d Requirements sq. ft. <br /> Public Water (name) S Com. ,,, Public Sewerage (name) <br /> SUMMARY.OR COMMENTS: <br /> 1. n o,A <br /> 2. G v1 e, c-o, +� <br /> 3• a wt0^1 1 <br /> P �,, J �-t -2• <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval 6Disapproval Continuance. <br /> r; <br /> I,H o6 06 3/71 11/83 500 <br />