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LOT LINE ADJUSTMENT <br /> SRN ' A !N COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed_Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> Pry <br /> S1,7,-E IMPROVEMENTS AND SERVICES <br /> �. at -Water <br /> Public Water Service Provider Annex-Formation 'Distance to Public <br /> Existing ❑ Required Water(Feet) <br /> Proposed 0 <br /> Private Waterk.] Existing Well New Well O Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing ❑ <br /> Proposod❑ <br /> On-site Sewage Existing Septic System ❑ New Septic System C7 Other ❑ <br /> Disposal❑ <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing ❑ <br /> Proposed❑ <br /> FPriva Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other 0 <br /> Drainage ❑ <br /> I <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> 7 '1 <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> o t` �1�` I �` e s <br /> k <br /> txlsting Roads <br /> Road/Stroot Namo R.0.W. Width Pnve1110171 Width Curb/Gimor Sldawaiks <br /> Yos EJ No Yo ❑ No <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> PrO#dsid l ds' <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No G7 Yes ❑ No ❑ <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> I illvlr lI I /1' 1.111'LIN 11,1A V V Il1IW HCV 711/99 <br /> y <br /> i <br />