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5 UED USA 252ORT APP# Ja <br /> QTo be completed & submitted by_ a6, <br /> ADDRESS <br /> AII N' <br /> in completing the Land Use investigation draw a.-11 Public Health factors <br /> on the exhibit. (i. e. ) Sewage disposal, water supplies, etc. Where <br /> necessary, drag complete map of area showing population density, location <br /> of housed, wind direction, etc . , on an attached piece of plain paper. <br /> Public water Ajo Public sewerage, . A-)o <br /> SUMMABI ng rnr <br /> I recd end: Approval Denial Continuance Signed <br /> MYy-N------ ---------- ------------------ <br /> 1103 . <br /> YYYYM--------YY.VY// 03 . <br />