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tahH ❑'; REPORT APP# <br /> To be completed & submitted by Q- CF4 <br /> ADDRESS 11 [OqO S.. I f PP,1. <br /> In completing the Land Dee inveatiffation draw all Public Health factors <br /> on the exhibit. (i.e. ) Sewage disposal, water supplies, etc. Where <br /> necessary, draw complete map of area showing population density, location <br /> of housed, wind direction, etc. ,, on ari attached piece of plain paper. <br /> Public watera': mac Aro--""y. Public sewerage ��- <br /> BUJIMARY OR C MENT,E: <br /> Q <br /> I recommend: Approval Denial Continuance Signe <br /> MNNMNNNMNNNNNNNNN NNNNNNNNNNNMNNNMNNNNNNNNNNNNNNNMNNNNNNNNNNNNNMNNMNNNMMN <br /> 0 Y <br /> C 11 r 0 6 <br /> )L <br /> S 03 <br /> p--.a. ° <br /> Ell 06 06 2/90 <br />