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LAND USE, REPORT <br /> APP C) _Z <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA _ Z 21.0 S a +1 <br /> APPLICANT'S 14AME p���9g,eA/ - ADDRESS <br /> PROPOSED USE/CHVIGE .% � r✓e�n,� ;/ ✓� f �/c ��.e"� � c.�/F ����<'�'�rA 0�%�7-�'��=���� <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 ParcelRequirements� sq. ft. <br /> Public Water (namo)?�'v.-r�rric" Public Sewerage (name)�o.•,,r✓ c,�E '� �,f ,.` <br /> SUMMARY.OR OOMMENTS: . <br /> 1. .. <br /> 2. <br /> 4. <br /> On basis of above.. I recommend:..: Approval X Denial Continuace <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to PlannLng Standard Paragraph Approval Disapproval Continuance;Q <br /> 7t. <br /> EH 06 06 3/71 11/83 500 <br />