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Yes <br /> ...9.e. Protection X <br /> 9, REC..oai..icii. iFac.i.1_.t ;es _ X <br /> • <br /> . Public Ui,i.li ties X <br /> . other <br /> i:'or those checked "yes, " please elaborate what: type or kinds of <br /> • improvements and/or assistance are needed. <br /> • <br /> • <br /> Please refer to planning and environmental report. <br /> Signature: 441A/; <br /> Address; / <br /> Telephone: <br /> I1 <br /> 00,4 bt <br /> Date: jt / 66L-- 411 <br /> lo <br /> 6337A/50A -4- <br /> P,D. 5/84 • <br />