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/ LAND USE REPORT <br /> AFP # <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA (.I t'k c,a,+ <br /> APPLICANT'S NAME 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 /> SUMMARY.OR COMMENTS: fCC <br /> 2. 5 r' / , <br /> 4• S$6 ST e�.•r <br /> On basis of above, I recommend: Approval 4,- Denial Continuance 06 oc,af'i� <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance,L.__1 <br /> EH 06 06 3/71 11/83 500 <br />