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VICINITY <br /> fA. <br /> Use df surrounding properties•: <br /> North: f T <br /> South: emjD4Y lot <br /> ; <br /> r <br /> East: Qttr_eei t ' ,� <br /> - � .. . . E <br /> West: L , . <br /> C <br /> SERVICESY 4 cfr <br /> mA List the public services and facilities which will be necessary for <br /> the project . Specify what public agency, if any, that will provide <br /> each . If private or individual services are proposed, explain: <br /> Are services currently Which City, Special District,- <br /> provided? If no, how etc. , will be providing each <br /> far will lines need service or what private <br /> a Service to be extended? services are ro osed?. <br /> i. . <br /> Water Yes 2L-No <br /> —_private well . . <br /> Sewer Yes No _ septic tank_- <br /> Draina a —Yes <br /> —No - _ dra nage ditch -Iri t, of ra erty. <br /> Electricity —Yes �No� <br /> Gas _Yes _No PQE <br /> T _Yes No -- - _-- "•r .rr-. <br /> C PROPOSAL_ <br />` OVERALL PROJECT . <br /> Describe the overall project: The addition of two dwellings to this <br /> roperty , and related itet�sx e requ2.rea c rp ,' dr i.v e , <br /> Ailaeip tic tank etc.. as needed , u grading, et6aning; - landscaping, .3.n- <br /> proving property . <br /> q <br /> C� SIGNATURE a <br /> 41 <br /> ' I <br /> certify under penalty of' perjury jury that I am {check one ) <br /> Legal <br /> Property Owner (owner includes partner , trustee, ' trustor, <br /> or corporate officer ) , <br /> 3 <br /> i , a owner 's legal agent (attach proof of the owner 's consent to file <br /> the application) , <br /> x <br /> and that the foregoing is true and. correct. <br /> (Signature ) (Date ) <br /> F!! Dwelling. Cluster . 5' - (7/86 ) <br />