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1J�lJL1 UJt', }{Ll'ORT <br /> AFP N /3 <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA I S 0 J (14 <br /> APPLICANT'S NAME ADDRESS Y <br /> PROPOSED USE/CIWIGE <br /> In completing the Lard 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 /> Public Water (name) Public Sewerage (name) <br /> SUMMARY.OR COMMENTS: <br /> 2. <br /> 3. <br /> On basis of above, I recommend: Approval -`-'Denial , Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance:Q <br /> LII o6 O6 3/11 11/83 500 <br />