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� At1D [ISE�;REPQRT APP# 5 4q <br /> To be completed & submitted by <br /> ADDRESS �� Gl �� J m ti EekV C 16--L <br /> If <br /> In completing the Land Use investigation draw &J.1. Public Health factors <br /> on the exhibit . ( i .e. ) Sewage disposal , water supplies , etc . Where <br /> necessary, draw complete map of area snowing population density , location <br /> of housed, wind direction, etc. , on an attached piece of plain paper. <br /> Public water Public sewerage <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval , Denial Continuance Signer r� <br /> EH 26 06 11/89 <br />