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LAND USE REPORT <br /> APP # Cc - V _ ! ? T . <br /> To Be completed and Submitted by 2-Ca `7 <br /> Date Issued <br /> ADDRESS UPA .1, �4 I; <br /> � �, w�st Ca �w ���� <br /> APPLICANT'S NAME ADD S <br /> PROPOSED USE/CHALIC=E <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 /> 1. 2 01 <br /> 2. / jPwr 11 t Y <br /> 3• K <br /> 4. <br /> On basis of above, I recommend: Approval �Dpniql Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval L:] Gontinuance,EJ <br /> C <br /> EH 06 06 3/71 `x- � C-�, �9 1 8 0 <br /> V - <br />