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ii­iNi = flAiira! <br /> CAN .InAr,'t IIN r,rll INTY r()MMI INITY nFVFi nPMFNT nFPARTMFNT I <br /> iter .tea+i I I ru r a�n. un_ I <br /> - FYlsfinn I and 1-lang <br /> On-Site Uses Include Ag Crops): <br /> Uses to the North: n K <br /> Uses to the East: r esu W0\ <br /> Uses to the South: r e S \ <br /> Uses to the West: aq <br /> PROPOSED PARCELS <br /> Parcel NumberExisting or Proposed Use of Parcel Square Footage or Acreage <br /> 2 A-c <br /> 2 2. 1 <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Ann tion Distance to Public <br /> Public Water Service Provider Re uirad Water Feet <br /> Existing ❑ <br /> Proposed ❑ <br /> Private\NaterDq Existin2 Well New Well Well Re lacement ❑ <br /> Sewage Disposal <br /> Annex-Formation Distance to Public <br /> Public Sewage Disposal Service Provider Required Sewer Facility <br /> Existing❑ <br /> Proposed ❑ <br /> On-site Sewage Disposal-g Disposal-gExisting Se tic S stem New Septic System 1E Other <br /> Ej <br /> Storm tiralinaga <br /> Annex-Formation Tenninet Detention- <br /> Public Storm Drainage Service Provider Re le to: Retention Ponds <br /> Existing ❑ <br /> Proposed❑ <br /> Private Storm Drainage On-site Retention Ponds Natural Drainage/No Chane Other ❑ <br /> Electricity Natural Gas <br /> Distance to Distance to <br /> Service Provider Service Service Provider Service <br /> P. G? E CIN-siEe <br />