Laserfiche WebLink
T Af-In tic- P;;'1:Q i4 <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UYA ?C,\M e <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 complte map of <br /> area showing population density, location of housed, wird 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 /> 4. <br /> On basis of above, I recommend: Approval Denial Continuance <br /> Signed <br /> FIR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval El Disapproval ContinuanceLl <br /> u <br /> . Al <br /> -tai ( � <br /> v 41 _271. <br /> G� <br /> Eli 06 06/ 3/71 <br /> v,_ dal - <br /> U <br /> -qo <br />