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YesNo <br /> e. Police P mtect on K <br /> f. Fire P mtect bn K <br /> 9 Recmat onalFaciliti s <br /> h. Public U tilitis <br /> X <br /> r_ 0 the r <br /> Forthose checked 'yes",phase ehborate whatt'pe or kids ofin prpvem encs <br /> and/orassistance are needed. <br /> i r <br /> S iiria hne: ( , <br /> Address: P o (301( 4i 7 1,4,,fia,4,,, t!i -c Q <br /> 6 !6 <br /> Telephone: (C4Og) 765-3b5 Z <br /> Dat: 3/6/ne <br /> -4- <br />