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I�MD 11 F EFORT APP#_ f�� Y�" �o —� , _ <br /> To be completed & submitted by <br /> ADDRE55 (-3 7.z % P <br /> In completing the Land Use investigation draw all Public Health factors <br /> on the exhibit . ( i. e . ) Sewage disposa.l, water supplies , etc . Where <br /> necessary , draw complete map of area showing population density , lo�-:atioii <br /> of housed, wind direction, etc . , ori an attached piece of plain paper . <br /> Public water— Public sewerage <br /> S.ClliZf,EL OR COjvLEi1TS : <br /> . wdJ' / <br /> l - 0 0 X4 03 *-0- 63 <br /> I recommend - Approval Denial_ Continuance—LeL""Signed <br /> i <br /> EH 06 06 2/90 <br />