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1 <br /> LAND USE REPORT <br /> APP ��S — j�9 <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA d q ,CS PJ (,U q 4 ri4Sovl L `� •! <br /> APPLICANT'S NAIL ADDRESS <br /> PROPOSED USE/CHANGE <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 /> 1. / .� ,Z <br /> 2. r <br /> 3. <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Sign Q _ <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance,Q <br /> V _ <br /> CILA <br /> EH o6 o6 3/71 11/83 500 <br />