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LA14D UJt, H 10it'r <br /> t� \ - <br /> AFP # � � JrGa - j •` . . <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA _ � -, la <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANGI" <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 -"De 'al Continuance . <br /> Signed >!� <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance;Q <br /> Csoc <br /> 3 <br /> Lif 06 06 3/71 11/83 500 <br />