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LOT LINE ADJUSTMENT <br /> t <br /> . PROAOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Existing <br /> Proposed <br /> Square Footage Square Footage <br /> or Acreage cr A creage <br /> r5 q dl c G7 /p <br /> .� 6? Z <br /> rs f�,M <br /> ' M RtiyFMiNrs;AND S TIvICR'S ! , <br /> .117Public Water Service Provider Annex-Formation Distance to Public <br /> Existing 0 <br /> Proposed D Required Water(Feet) <br /> Proposed <br /> Private Water Exlsting Well 4r New Well Well Replacement O <br /> . �. Sewagd t)lsjoosai <br /> Public Sewage Service Provider Annex-Formation Distance'to Public <br /> Disposal <br /> Existing J7 Required Sewer Facility <br /> Proposod D r <br /> i <br /> Onsite Sewsge Existing Septic System New Septic Spsiem Other 0 <br /> Disposal <br /> .t� S Y, �}} r1 {apt i�y1y lGi9.;']yii� s <br /> ':1Y �ly �' Vio!'m ralnage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing 0 <br /> Proposed 0 <br /> Private Storm On-site Retention Ponds)❑ Natural Dralnege/No Change O Other D <br /> Dralnsge❑ <br /> Flectdcity ,, Natural Gas <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> e <br /> on6S N,16:440 ,i r 5 y r F 5;' r Cable'Televislon Servlc <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> ea <br /> ` '�n{7's '• $.G,11oolySerY,Fe M' S^Y _t{�f.�,i, r'k i,`�� P `.S. w ' <br /> 7Flre Protecticri So ca <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> �' hi Z phi s G )I^ ' �s <br /> Road/Streef Name R.O.W.Width Pavomont Width Curb/Gutter Sldowalks <br /> f D <br /> Iz"*�Z Cj�_ _ Yas_Q No)V Yes O No <br /> Yes 17 No 0 Yes 0 No 0 <br /> 3 x <br /> P.toposed:Road <br /> Roa&'Street Name R.O.W.Wldth Pavement Width Curb✓Gutter Sidewalks <br /> Yes O No 0 Yes O No 0 <br /> Yes❑ No 0 Yes 0 No 0 <br /> t <br /> r;i,rv:rrwrivlNw/n����N4rxuhuw�►►row ncv S/t/�f —3— <br />