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LAND USI, REPORT <br /> " APP # SR- �S�ZZ. <br /> To Be completed and Submitted by a <br /> j Date Issued nn <br /> ADDRESS UPA fA U>e-S�' L <br /> APPLICANT'S NAME T— ADDRESS <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 /> Public Water (name) Public Sewerage (name) <br /> SUMARY.OR CONQff,.NTS: <br /> 2. S � S - — � U <br /> 3. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> t� <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance,ED <br /> �b ��Le�o <br /> EH 06 06 3/71 � C��wc.►�. 11/83 500 , p <br /> 0 <br /> GL tc <br />