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APPLICATION- SITE APPROVAL <br /> PRIVATE RIGHT OF WAY-TY DEVELOPMENT ED SUBDIVISION <br /> UIN COUNTY COM <br /> SAN,VOA Q <br /> YEMENTS�ANDSERylCES , <br /> SITE 1MPR0 i � tit, hr", r1 r�-'" �e� <br /> .q 4. Rix !N WGtter� <br /> Annex-Formation ors�anco io Pu"c w W <br /> (Feel <br /> Public <br /> Service Provider Required <br /> public Water <br />€ Proposed❑ <br /> Existing❑ <br /> New Well ❑ Well Replacement 0 <br /> private Water Existing Well X <br /> et+, i <br /> h �'G'.•: <br /> Sewage„Dlsposai + <br /> t Annex Formation Dislancu,0PLd4L .•• <br /> Faci6tr <br /> Service Provider Required <br /> Public Sewage <br /> Disposal <br /> Proposed❑ <br /> Existing❑ <br /> Existing Septic System ❑ New Septic System <br /> Other ❑ <br /> On-site Sewage <br /> Disposal W <br /> ti i �,J49t 5 <br /> S(fit rri'Urat'.--.v <br /> on <br />> Service Provider(i(PubUc) Annex-Formation Terminal Drainage DerentiPo dstention <br /> public Storm Required <br /> Drainage <br /> k Proposed❑ <br /> tE Existing❑ <br /> On-site Retention Ponds) ❑ Natural Drainage/No Change � <br /> Other 13private Storm <br /> Drainage <br /> s and <br /> Electricity <br /> Service Provider <br /> Distance to Service <br /> Service Provider Distance to Service 00 r <br /> , i <br /> M <br /> . , _ �; rrffri,y.��,.�u•B Protecflons'',.:Servlce�t',, <br /> �'.SChool_ServiCe Distance to Fire <br /> Service Provider stance to Elem Station <br /> DiService Provider <br /> School <br /> tiro 'Roads <br /> ,Exts g <br /> .. R.O.W. Width Pavement Width lks <br /> Curb/Gutter Sidewa <br /> Road/Street Name Yes❑ No Yes❑ NO <br /> Yes❑ No Q Yes❑ No❑ <br /> k <br />