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� LAND USE REPORT <br /> ire <br /> t Y <br /> r� l/ •I <br /> " APP # <br /> s <br /> To Be completed and Submitted by ��y <br /> 1Date Issued <br /> S <br /> ADDRESS UPA I cl YAPPLICANT'S NA14E ADDRESS <br /> PROPOSED USE/CHAPIGE <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: <br /> --• ��- � �/� <br /> 3• <br /> On basis of above, I recommend: ApprovalDe 1 Continuance <br /> Signed !� <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval = Disapproval Conti-nuance, <br /> Gam. <br /> Ell 06 06 3/71 5 -l�Sp \ 11/83 500 <br /> l b 00aAi <br /> 4 ora I LL + g001 LL N� <br />