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'p <br /> LAND USE REPORT <br /> A. C a '7- <br /> To Be completed and Submitted by J� <br /> Date Iss®®uee�d/� <br /> ADDRESS UPA 019 IL- <br /> A <br /> APPLICANT'S UAIE DRESS <br /> PROPOSED USE/CHAPiGE <br /> In completing the Land Use investigate n 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 /> 3• <br /> L. <br /> On basis of above, I recommend : Approval _ Denial Continuance <br /> Signed <br /> FUR OFFICE USE ONLY <br /> Report to Planning Standard Paragraph Approval p D sapproval Continuance Q <br />