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' (1, <br /> LAND USE REPORT <br /> APP z-k"- <br /> To Be completed and Submitted by 'L/ `pI/ <br /> Date Issued <br /> ADDRESS UrA <br /> MY LI CAN T'S NAMEADDRESS <br /> PROPOSE) USE/afANCE <br /> In completing the band Uae investigation draw all Public Health factors on the exhibit. <br /> Sevage disposal, water supplies, etc. Where necessary, draw complete -map of <br /> area showing•population density, location of housed, wird direotion, etc„ on an attached <br /> Piece of plain paper. <br /> Size, of Parcel Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUM RY OR OC)MMT13: <br /> 1. <br /> PLC !� [ GL S CC ..r <br /> 2. c.�-i v G' <br /> / Z.v L 1 cv�•-. u s � 6 � C/� s c <br /> 3. <br /> On basis of above, I reco=end: Approval a Denial Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval 0 Continuance a <br /> tt S CL Vc�t._ l.V l 4—h 41 <br /> Eh 06 06 3/71 11/83 500 <br />