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LAND U-"}�, REPORT <br /> S <br /> AFP 11 <br /> S <br /> To Be completed and Submitted by 4LK <br /> Date Issued <br /> ADDRESS UPA 113q Co Ljj 5 +o(, <br /> APPLICANT'S NAME 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. Vii? ✓= . C M ��' c; C. _ c S- _ . ;. 4- d' <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval _/Denial ,Continuance <br /> Signed t'�( <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance, <br /> - 1 V <br /> V ' <br /> v <br /> AlOf r <br /> EH 06 06 3/71 11/83 500 <br />