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LAND USE REPORT <br /> AFP # <br /> To Be completed and Submitted by = - <br /> Date Issued <br /> ADDRESS UPA S <, 4 C <br /> APPLICANT'S NAME <<��l ty, RR. hc;t\1 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 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 /> 3. <br /> 4 /�► Testi i%ff�I <br /> On basis of above, I recommend: Approval LD)p 1 Continuance <br /> Signed <br /> FOR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval Ej Disapproval Continuance E <br /> a <br /> /77 <br /> EH o6 o6 3/71 11/83 500 <br /> lel?� <br />