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r , <br /> LAND USE REPORT <br /> APP y ��) S C c) <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA L_c <br /> APPLICANT'S NAME IDDRESS <br /> PROPOSED USE/CHAPIGE <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 or Parcel Requirements sq. ft. <br /> Public Water (name)--' Public Sewerage (name}------_.__. <br /> SUMMARY-OR COMMENTS: <br /> 2. <br /> On basis of above, I recommend:., Approval _ Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance' .; <br /> EI{ 06 06 3/71 11/83 500 <br />