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F . UTILITIES <br /> 1 . Water <br /> a . Source for Project <br /> Private Well (s ) M <br /> Public System Q Agency //IQ _ <br /> b. Distance to Nearest Public Water Connection—_-CP-��,s t <br /> c . Are fire hydrants proposed? Yes Q No <br /> 2 . Sewage Disposal <br /> a . Type <br /> Septic System <br /> Private Treatment Plant <br /> Public System Agency <br /> b. Distance to Nearest Public Sewer Connection <br /> 3 . Storm Drainage <br /> a . Type ,,// )) <br /> On-site Method /VQI?,C X�)/Qs�icccf <br /> Off-site Method <br /> 4 . Natural Gas Supplier_ <br /> 5 . Electricity <br /> a . Supplier_ t F <br /> b. Underground Distribution: Yes No .4 <br /> G. IMPROVEMENTS/DEDICATIONS ' <br /> 1 . On-site: streets : EJ No Yes <br /> right f-way width ( s ) <br /> curbs : Yes No; gutters YesNo <br /> sidewalks: No Q Yes; street lights : lal No Yes <br /> sewage POggDaC <br /> -3- ( 9/85 ) <br />