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(1) <br /> • L414D USE REPORT <br /> APP # <br /> To Be completed and Submitted by 2� <br /> Date Issued <br /> ADDRESS UPA �7`.J- i+✓, ��1/�" .�� ct,.r�,, �/ /� -r� <br /> ArPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANCE <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit. <br /> (1.6 Sewage disposal, water supplies, etc. Where necessary, draw complete nap of <br /> ares 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 /> SU*MY OR OOMMTS: <br /> 3. <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 a <br /> EH 06 06 3/71 11/83 500 <br />