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✓ �� <br /> LAND "SR . APP# <br /> fTo be completed & submitted by <br /> ADDRESS <br /> In completing the Land Use inveatigation draw all Public Health factors <br /> on the exhibit. ` (i.e. ) Sewage disposal, grater supplies, etc. Where <br /> neceaaary, draw"complete map of area showing population density. -location <br /> of housed, Hind directiOn, etc. , on ari attached piece of plain paper. <br /> Public water Public sewerage <br /> u. ao"Plor—on Ott <br /> 9L <br /> a <br /> I "recommend! Approval Denial Continuance Signed <br /> M NMNNN MNNMMMNNMNM NNNM NNNN MN NN NN NM NMNNNN MMM NNNMMNN NM MMM MNMM MMM NN NNN NMNN MN <br /> l <br /> q4 <br /> EII 06 06 2/90 <br />