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SITE <br /> VERIENTS AND SERVICES <br /> �, <br /> Public Water Service Provider: Annexation or Formation Distance to Public Water(ft-) - <br /> Required? <br /> Existing ❑ es ❑ No [:1Proposed Y <br /> ❑ <br /> Private Water: Existing Well ❑ New Well �, - Other: <br /> SEWAGE.-DISPOSA74 < . ..SL Y` .z'<. 24 <br /> Public Sewage Disposal Service Provider: Annexation or Fomution Distance to Public Sewer <br /> Required? Facility(miles) <br /> Existing ❑ a F) No❑ <br /> Proposed ElY <br /> Onsite Sewage Disposal: Existing Septic System ❑ New Seplie System Other: <br /> Public Sloan Drainage Service Provider: Amex"Fortnatior Terminal Drainage to: Detenlierr- <br /> Required? Retention Ponds? <br /> Existing ❑ <br /> Proposed ❑ Yes❑ No❑ Yes❑ No ❑ <br /> Private Storm <br /> Drainage: On-site Retention Pond(s) ❑ Natural Drainage/No Change Other: <br /> ELECTRICITY„„ Tk`LEP i6."31':RVI, <br /> Service Provider: Distance to Service: Service Provider: Distance to Service: <br /> �6.4- E_ <br /> District M K Gs Distance to School p Service Provider Dist.to Fire Station <br /> Elementary: V/J I r/�D M / '/ J�!'/”) d5A14)P <br /> High School: <br /> EXLSTIPIG ACCESS ROADS s > :r <br /> Roed/Stred Name R.O.W.Width Pavement Width Curb/Gutter� Sidewalks <br /> r,ef")fN Q17. C / S/ Yes❑ No IQp- Yea❑ No <br /> Yes 0 No❑ Yes❑ No❑ <br />