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• LAND USE REPORT <br /> �.� APP // SU-To Be completed and Submitted by (a— F,F, <br /> Date Issued <br /> ADDRESS UFA <br /> APPLICANT'S NAME AS C- (�—ERL.jj m I til E . (I iL,ADD S l :2 31 <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 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. <br /> 2. <br /> 3. <br /> 4. <br /> On basis of above, I recommend: Approval _ Denial Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Disapproval Continuance Q <br /> . -7 b . � } <br /> M d a 4*i••Bj4^'i/"�' <br /> EH 06 06 3/71 11/83 500 <br />