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LAUD U,;l R]]'0RT <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA j�jo I I �- <br /> APPLICANT'S NAME .G E / ADDRESS ,,4 / �' ;ems/.'- <br /> PROPOSED USE/CHANGEa�.G��E?'d/"'dl 1F/yf�o yf.�de7%E.fia,f.!'.��x^'F .�'ef' �t✓fEg►''f.?�if�.�r'�,,s <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 e,�,Ze,,� Requirements sq. ft. <br /> Public Water (name) ,��ap-, � � Public Sewerage (name) r <br /> SUMMARY.OR COMMENT'S: <br /> 2. a�✓f e �°� �'El �% <br /> 3. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> 1UR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval l-1 Disapproval Continuances <br /> 44 I <br /> Eli 06 06 3/71 ` o� u�' ` 11/83 500 <br /> 1 <br />