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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 proposed? <br /> Water _Yes No <br /> Sewer _Yes No <br /> Drainage _Yes )< No <br /> Electricity ( Yes No <br /> Gas X Yes No <br /> Yes No <br /> Proposed property size and use: <br /> Parcel A size: 0, 7 use: <br /> Parcel B size: / , use: <br /> Parcel C size: use: <br /> Parcel D size: use: <br /> (] 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 /> QCorporate Officer( s ) empowered to sign for the corporation, <br /> LI Owner 's legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> and that the foregoing is true and correct. <br /> (Signature ) (Dat ) <br /> Lot Line Adjustment - 4 - (8/86 ) <br />