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❑ SERVICES <br /> List the public services and facilities which will be necessary for <br /> the project . Specify what public agency, if any , that will provide <br /> each . If private or individual services are proposed, explain: <br /> Are services cur- <br /> rently provided? Which City, Special District, <br /> If no, how far will etc . , will be providing each <br /> lines need to be service or what private <br /> Service extended? services are rp oposed? <br /> _Water _ _Yes X_No NA_ Rural residential <br /> Sewer Yes p_NoN_� -SepEic systems Tian a sew ge- <br /> Drainage _ -Yes A No _ M_ot_er�i aureE _ <br /> ElectriciLy 3� Yes —No- <br /> Gas <br /> o <br /> Gas _Yes 7 No <br /> 7gLEfh.{Oa/6 _Yes _No___ <br /> Proposed property size and use : <br /> Parcel 1 size : 1 . 06 acres use : Rural residential <br /> Parcel 2 size : 1 . 3 cress use : Kurai TeMteffrtal — <br /> Parcel 3 size: �T� acres use : ric itura-T <br /> Parcel 4 size : —use : -- <br /> SIGNATURE <br /> se :SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Owner ( s ) (All owners must sign as their names appear -on the <br /> deed. ) , <br /> Corporate Officer ( s ) empowered to sign for the corporation, <br /> U Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and tha t foregoing is true and correct . <br /> e. O Z- <br /> (Signature ) <br /> - <br /> (Signa ure ) —T(Date ) <br /> -A - /S - �y <br /> Lot Line Adjustment - 4 - ( 8/86 ) <br />