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LAND USE REPORT <br /> APP # c r P,?— zn/— 2— <br /> o <br /> To Be completed and Submitted by IhNt <br /> Date Issued <br /> ADDRESS UrA ,? �3,6 ,S O �- �v��� 2.�, , TiL�.•, <br /> AP?LICANT'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:) Sevage disposal, water supplies, etc. Where necessary, draw complete map of <br /> ares 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 ODMMENTS: <br /> 1. <br /> 2. <br /> 3• <br /> On basis of above, I recocmmend: Approval Denial Continuance <br /> Signed <br /> FSR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval 0 Disapproval M.Continuance <br /> Q <br /> 1 X� <br /> EH 06 06 3/71 11/83 500 <br />