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SITE IMPROVEMENTS AND SERVICES <br /> . <br /> ��Ki+s'a�s''x <br /> Public Water Service Provider: Annexation or Formation Distance to Public Water(ft.) <br /> Required? - <br /> Existing ❑ ®h. G (D Pt S ; 4(!C <br /> Proposed [— Yes ❑ No 0� <br /> Private Water: Existing Well ❑ New Well ❑ Other: <br /> SEWAGE DISPpSA <br /> Public Sewage Disposal Service Provider: Annexation or Formation Distance to Public Sewer <br /> pp Required? Facility(miles) ff <br /> Existing El Q L) � 1�\ Q N 5 l`'r <br /> Proposed Yes❑ No <br /> /'�� ' aCkrs`I2 <br /> 0,-Site Sewage Disposal: Existing Septic System ❑ New Septic System F-1Oder: '� S p �GL 4'�' <br /> «S'�'dlt�'Ir D�(#1f�tA�E . • � ... . 's'.t s `�..:'$ ° ti : '..: ' .. :. <br /> �d <br /> Public Storm Drainage Service Provider: Annex or Formation Terminal Drainage to: Detention. <br /> Required? Retention Ponds? <br /> Existing E] CI 5 '.k <br /> Proposed Yes❑ No Itch Yea No ❑ . <br /> Private Storm <br /> Drainage: On-site Retention Pond(s) ❑ Natural D minage/No Change ❑ Other: <br /> EliECIRI�ITY TEUEYIE <br /> Service Provider: Distance to Service: Service Provider.JJ Distance to Service: <br /> 2,5 <br /> 9CHdUi PxTtPXtOCxI(1iVX3Y1 E <br /> District Distance to School Service Provider DisL.to Fire Station <br /> Elenemtary: iOrt: '7— ,Ccc '� ���E t2o_ 1 ,•7 : 1L <br /> High School ! � t <br /> Road/Stred Name R.O.W.Width Pavement Width curb/Gutter Sidewalks <br /> i r <br /> -z_ t Z Yes❑ m�No t� Yes❑ No[� <br /> Yes❑ No❑ Yes❑ No❑ <br /> L f <br /> x ,t ",�{ <br />