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o <br />AREA O3 <br />ADDRESS (LAND USE) %`1(i f - <br />LAND USE REPORT <br />APPLICATION <br />TO BE COMPLETED <br />HEARING DATE <br />(1) <br />NSLe' 9 <br />U /� /y�� <br />�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 ��,` 'A L Requirements sq. ft. <br />Public Water (Name) ,L Public Sewage (Name) <br />SUMMARY OR COMMENTS: <br />1 <br />2 <br />3 <br />4 <br />Q <br />Signed: <br />FOR OFFICE USE ONLY <br />Report to Planning Standard Paragraph Approval�isapproval ontinuancecZa_ <br />VVI <br />CII 0606 9/86 <br />