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I,P.tI;�E?�EEF APP#_ <br /> To be complet d & submitted by <br /> ADDRESS <br /> In completing the Land Use investigation draw all Fublic Health .factors <br /> cn the exhibit . ( i . e . } Sewage disposal , water iF�upp7 ies , etc . Where <br /> Accessary, craw complete map of area showing population density , lo(-'atiou <br /> of wind direction, etc . , o-r, an attached pJece of plgin pape.r . <br /> Pob i i.c water___ Public /sewerage_ <br /> a.l 'M6F�SzR_C�tiG Ems.= � <br /> --- z:) - <br /> ��/ <br /> 7 recommend : Approval- Denial_ Gont.inuanee Signed _ <br /> Nn +NN►.Nr+/+♦ +.+ +n+.y +/+/.+//..+ +.y..+ +Nw+/ NNINM NNN•/NNS+•+N NNIYNN-- --------N♦/� N NMN •N <br /> 0 <br /> \rip- aa-�k <br /> 1 z. <br /> v <br /> 11 - 63 <br /> F11 16 06 2/190 <br />