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j, }3D QS E x'1'4 ORT APP# <br /> To be completed & submitted by <br /> ADDRESS T <br /> In completing the Land Use 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, ,e,t�c` . , on an attached piece of plain paper. <br /> Public water <br /> Public sewe rage <br /> fr "F-� <br /> 011 <br /> SUMMARY OMMENTS: <br /> ZXL04 ei Oil! 67 <br /> I recommend: Approval_L Denial Continuance Signed <br /> s G/mss 7Zz akeLl �e /0-4f�/ <br /> all <br /> EII 06 06 2/90 <br />