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(1) <br /> ' LAND USE REPORT <br /> APP # <br /> 4 . <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA <br /> A??LICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANCE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (i.C) SeVage disposal, water supplies, etc. Where necessary, draw complete ,neap of <br /> are: ehowing-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 /> SU*M1 OR COMMIS: <br /> 1 •p-- <br /> 2. <br /> 3. �C 1 <br /> 1,. � �GtJ �•C Z Gf r� - �' <br /> On basis of above, I recommend: Approve Dental Continuance <br /> Signed <br /> "OR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval disapproval Continuance a <br /> El' 06 06 3/71 11/83 500 <br />