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LAND USE REPORT <br /> ti r <br /> APP S <br /> To Be completed and Submitted by j - ' 3,1 <br /> Date Issued <br /> ADDRESS UPA I I - cc,i� L c c <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. ,r <br /> Public Water (name)- Public Sewerage (name) <br /> SUMMARY.OR COMMENTS: <br /> 1. --2� . d <br /> 2. <br /> 3. <br /> 4. <br /> On basis of above, I recommend: Approval Denia-ly Continuance �]r <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance <br /> � b1 <br /> Eli 06 06 3/71 11/83 500 <br />