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' LAND USE REPORT <br /> �Y APP # S Pot-Mo <br /> To De completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA 3 a <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CMJIGE <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 OOMMENTS: , <br /> 1. a � sJ4n�ye <br /> � 3' 7` <br /> 2. . <br /> 3 <br /> Ze <br /> On basis of above, I recommend:.•: Approval Denial Continuance <br /> Signed 7 <br /> f <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance; <br /> .4 <br /> a <br /> EI{ 06 06 3/71 11/83 500 <br />