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UZE APP#_� <br /> t j <br /> To be completed 8a submitted bY. <br /> ADDRESS <br /> In completing the Land Use investigation draw aj.1 Public Health factors <br /> on the exhibit. ( i.e. ) Sewage disposal, water up e <br /> necessary, draw complete map of area showing Popul tin n 1' y . � o <br /> of housed, wind'' direction, etc. , or, ari attached piece of pm U <br /> Public water L Public sewerage <br /> SUMMARY OE me <br /> I recommend: Approval ' Denial Con-inuance Signed <br /> ------------------------------- --------- ----------- - A W4�� <br /> r <br /> 11 . <br /> I <br /> EII 06 06 2/90 <br />