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Yes 1Lo <br /> E . F ePmtectbn <br /> 9 RecreatbnalFaciltPs K <br /> h. Pulpit Uti1 s <br /> _ other X <br /> Forthose checked Tyes,"pIase elaborate whattype orkinds of <br /> m pmvem ents and/orassistance are needed. <br /> S ' nature: <br /> Address: P . 13ai 1317 iarnue1. I- 967 '3 <br /> Te'ephone: e®i- 6a3- 1150 <br /> Date: c=1 747 <br /> 6337A/50A -4- <br /> P P .Sin <br />