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SITE 11%'[PROVEMENTS AND SERVICES <br /> > :::R2:;9:,yc:•: {::} .s:e <br /> t•:L. <br /> Public Water Service Provider: Annexation or Formation Distance to Public Water(tL) <br /> Required? <br /> Existing ❑ <br /> Proposed ❑ Yes ❑ No <br /> Private Water; Existing Well 00 New Well ❑ Other: <br /> .f%. i.'2�S'ii�'2 ti. ..i:•:2�r:'4i� \?.h'v��•.',ry ,:'il::: <br /> :;.:iii.: „•: <br /> Public Sewage Disposal Service Provider; Annexation or Formation Distance to Public Sewer <br /> Required? Facility(miles) <br /> Existing ❑ <br /> Proposed ❑ Yes❑ No <br /> On-Site Sewage Disposal: Existing Septic System New Septic System ❑ Other: <br /> h <br /> Public Storm Drainage Service Provider: Annex or Formatior Terminal Drainage to: Detention- <br /> Required? <br /> etentionRequired? Retention Ponds? <br /> d <br /> Existing ❑ <br /> Proposed ❑ Yes❑ No❑ Yes❑ No ❑ <br /> Private Storm <br /> Drainage: On-site Retention Pond(s) ❑ Natural Drainage/No Change Other: <br /> f�t,E :RIC:[T <br /> CT <br /> Service Provider: Distance to Service: Service Provider: Distance to Service: <br /> T FX%Sin <br /> District Distance to School Service Provider Dist..to Fire Station <br /> Elementary: PAVN j i a v <br /> High School: e44 <br /> .EXiSTiNG-ACC�S��t(�A�S .....}:. y..�._..>. �.....>.f.f ..�..r... ...:...t.:, �..�....... ............. .2..... .......,.,;,. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/outter Sidewalks <br /> ! r ! l <br /> �S •lYt � �7 Yes NO[51 Yes❑ No <br /> r <br /> Yes❑ No❑ Yes❑ No❑ <br /> i <br /> I <br /> l <br />