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• LAND USI: REPORT <br /> APP // <br /> To Be completed and Submitted by f 0-('ZZ �+ <br /> Date Issued <br /> ADDRESS UPA 0 <br /> APPLICANT'S 14AMC G n ADDRESS 77V F72' 7 <br /> PROPOSED USE/CHANGE y <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplios, 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 /> w <br /> SUMMARY.OR COMMENTS: <br /> 2 <br /> u. <br /> On basis of above.. I recommend Approval De �1 Continuance <br /> Signed <br /> �r <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph 'Approval Disapproval Continuance' <br /> 1 <br /> yhe e `�1�� /l a lPs f�t u �^V dp �atit <br /> Toa iti 04,, 1)p, sv 'm/. <br /> Eli o6 o6 3/71 Y 11/83 500 <br /> D � <br /> I • <br />