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To Be completed and Submitted by <br /> Date issued <br /> ADDRESS UYAD <br /> APPLICANT'9 .NAME ADDRESS <br /> PROPOSkM 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 complgte 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 (naive) <br /> SUMMARY OR COMMENTS: <br /> UL <br /> On basis of above, I recommend: Denial Continuance <br /> d: A <br /> Signed y <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance Q <br /> C <br /> Eli 06 06 3/71 <br />