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(1) <br /> LAND USE REPORT <br /> 211C> APP # S-77-1 <br /> To Be completed and Submitted by 10-7-76 PC 10-13-76 <br /> Date Issued 10-5-76 <br /> ADDRESS UPA 4620 Shippee Lane <br /> APPLICANT'S NAME Thomas Luckey ADDRESS 4800 Hildreth Lane, Stk <br /> PROPOSED USE/CRANGE 17 lot residential subdivision <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 /> SUMIARY OR COMMENTS: <br /> 1. <br /> 2 <br /> 3• <br /> 4. i <br /> On asi of above, I re MMend: Approval Denial Continuance <br /> Signed %—�i1 <br /> FOR OFFICE USE ONLY <br /> Report. to Planning andard Paragraph Approval [�X Disapproval Continuance Q <br /> G - S <br /> EH 06 06 3 (1 4/74 750o <br />