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SERVICES ........... <br /> List the public services and Eacilities. which will be necessar.y <br /> the project . Specify what public agency , if any , that will providc <br /> each . If private or individual services are proposed , explain : <br /> Are services cur - <br /> rently provided? Which City , Speci.,--il Dist. uicl , <br /> If no , how far will etc . , will be providincj eact <br /> lines need to be service or what private <br /> Service. extended? services are proposed? <br /> Water —Yes -X-No----- <br /> Sewer --Yes -y1-No----- <br /> Drainage —Yes <br /> Eiectricity y,._Y e s ...... <br /> Gas _Yes <br /> --Yes No <br /> Proposed property size and use : <br /> Parcel 1 size : 2-51---bC <br /> —use :–A-L&DhCL-02LiAffZa­ <br /> Parcel 2 size : I-L.a _Ag <br /> use —AdZ1C-U <br /> Parcel 3 size : use : <br /> Parcel 4 size : use <br /> ............... --------- <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 lie. <br /> deed. ) , <br /> Corporate officer ( s ) empowered to sign for the corporation , <br /> LJ Owner ' s legal agent (attach proof of the owner ' s consent to fi e <br /> the application ) , <br /> and that the foregoing ,is true and correct . <br /> (Signature ) <br /> NAA< I qRO <br /> Lot Line Adjustment 4 ( 8/86 ) <br />