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i <br /> LAND USE REPORT APP# <br /> o � <br /> To be completed & submitted by <br /> ADDRESS l Z zfy <br /> In completing the Land Use investigation draw all Public Health f ctors <br /> on the exhibit. ( i. e. ) Sewage disposal, water supplies, etc. jWhere <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'c :, ` :�; _Public sewerage/oe'i�1 sE��"� <br /> SUMMARY OR COMMENTS: + <br /> o <br /> I <br /> i <br /> / I recommend: Approval_. Denial Continuance Signed <br /> 4 <br /> i <br /> EH 06 06 2/90 <br />