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LAND USE REPORT <br /> APPS ` <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA /�� ��/ �i, �� ���,__ /) . I )/ <br /> AP P LI CANT'S NAME ADDRES <br /> P RO PO SED USE/CHANGE <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 shoring population density, location of housed, mind 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 COMMENTS: <br /> 1. #3 <br /> 2. -0 10 <br /> 3. A <br /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval EJ Disapproval Continuance a <br /> L7 U <br /> C <br /> 74 <br /> EH 06 06 3/71q � <br /> 11/83 500 <br />