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' 1JUJU U6A Rll'OHT <br /> AFP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA _ ( � rk C,:,1 <br /> APPLICANT'S 14Al� ADDRESS <br /> PROPOSED USE/CIWJGE <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)—I1IZ, Public Sewerage (name)_ <br /> SUMMARY-OR COMMENTS: <br /> 2. �L /it�{�G( /YllC h� �� S'lP ca!-�� l�1` �P S a�/•C.c/ yT�i�l'" ��� ��-Tiyt-t.� <br /> N <br /> 3° <br /> r r <br /> On asiissabove, I recomm�� Approval Denial Continuance <br /> Signed <br /> MR OFk?ICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance; <br /> � Ob <br /> L11 06 06 3/71 11/83 500 <br />