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Yes <br /> f, Fire Protection X <br /> 9. Recreational Facilities X <br /> b , Public Utilities X <br /> 1 . other X <br /> For those checked "yes," please elaborate what type or kinds of <br /> improvements and/or assistance are needed. <br /> Please refer to planning and envirorunental report. <br /> s <br /> Signature: ❑❑ //gy�pv <br /> Address: <br /> Telephone: } ' <br /> Date: r r <br /> 6337A/50A -4- <br /> P. D. 5184 <br />