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(1) <br /> LAND USE REPORT <br /> APP # /-n - � _ 2- <br /> To <br /> To Be completed and Submitted by ,;2 <br /> Date Issued <br /> ADDKFSS UPA . 7�� . <br /> APPLICANT'S NAME ADDRESS <br /> PROPOSED USE/CHANCE <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 shoring 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 OOMMEJTS: <br /> 2. <br /> 3. <br /> On basis of above, I recommend: Approval D nial Continuance <br /> Signed <br /> FOR OFFICE USE 014LY <br /> Report to Planning Standard Paragraph Approval M Disapproval Continuance a <br /> EH 06 06 3/71 11/83 500 <br />