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LAND USE REPORT • <br /> AFP # 5/I <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA 39 /U04 DAMP RD <br /> APPLICANT'S NAIE l311Q r0(:1n/ 1k, ADDRESS 3 Ir �1 E, f=REN[`_l4 C',40y1 f <br /> PROPOSED 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 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 /> r <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY-OR COMMENTS: <br /> 2. <br /> 3• <br /> 4. <br /> On basis of above, I recommend: Approval ✓ enial Continuance <br /> Signed o cc <br /> 30 ng, 31 <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval � Continuance Q <br /> C. C <br /> 11/83 500 <br />