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Not much, it would be a bit more confusing, but generally more interesting, and have a lot of neighbourhoods which would have been villages assimilated into the city during the past. Prime examples of cities that have grown organically are : London, Paris, Berlin, Manhattan south of the village, In fact virtually all European cities, and US cities with histories before the 18th century.

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Q: What would happen if a city if there was no urban planning?
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