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a� aND' U,SFi$EPQET APP#_ <br /> To be completed & submitted by /�4 7/ • �� 1 pp� <br /> ADDRESS ! f 9 �J 8 >Y2- <br /> In completing the Land Use investigation draw &1.1 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 an attached piece of plain paper . <br /> Public water__ Public sewerage <br /> aULNARY OR COM2,ENTS : <br /> I recommend : Approval Denial Continuance_ Signed <br /> --------------- <br /> a , ao .oS '5C, <br /> EH 06 06 2/90 <br />