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LAND OSE REPORT APP# <br /> To be completed & submitted by q - l-nQ z, <br /> FA Co ADDRESS m <br /> l`f <br /> In completing the Land Ose investigation draw all 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 afi attached piece of plain paper. <br /> Public water �(� Public sewerage Lo <br /> SUMMARY OR COMMENTS: <br /> l /- 03 <br /> b-C, ea se (Jlp L-) C Uhl <br /> r ` <br /> Le <br /> + �e - G I,CAuccz O <br /> 4n 'f5I� -4- �rs•.>s <br /> L <br /> �C i a it e'' ✓t.Gw .M D r { <br /> I recommend : Approval Lf-'Deninl Continuance Signed <br /> I/N M N N I/N N II I I N N N N N N N N N/I N a/N N I N N N N.Y I!N I!N N N N N♦I•I N IJ N N•/.I N I!rI II N N N M II N N N N N N N N N I/N N II N N II <br /> \ I� <br /> �l- .• �\- 03 -� .t�r � cam. �..� � ���.� <br /> 0..� a--o. CNO- LAD <br /> SSL. 61 a <br /> EII 06 06 2/90 <br />