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'• If there are two or more proposed uses in a building, make separate listings for each use. 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Public Water Service Provider Annex-Formation Distance to Public Proposed❑ Required Water (Feet) Existing ❑ Private Water Existing Well New Well ❑ Well Replacement ❑ .. :{. :?•ti{•: .......... ................................... :•............:.:::.::..::.. r-:?:: �::<:: >:<:<< t:s::>:i::i::::ii::i::iiiii:z::': iiiii>:.. ::is z:?c} •::} ;}«z}zzc::i is i:::?z::}:+:: Public Sewage Service Provider Annex-Formation Distance to Public Disposal Required Sewer Facility Proposed❑ Existing IV s IFOn-site Sewage Existing Septic System,B' New Septic System [3 Other [3Disposal❑ ~A �y�� /��/�� •n:v::.t.:n•; .................................. ... ............................... ...........:nw::nw:::::::.::::::::.:.v::::.... .}w:::::.::::::::.�::::.::::::nv::::::::::::::.:.�::.•. ................. .......:v.:.. ................. ...........ti:v v...............................:.:.. ........................... :iAiP/.�7RF. ............................... ............ :..vu.v.v::::.::::.::::.::::::�::�::�::�::�:::�::�::�::�::.::::�::�::�::�::�::�::�::�:::.::�::�::�:::::.::{-.i:!:?iiiii:�:::�::�::.........................��!��.'::i:�:�iiij:^iiY:'i:iii:ii>.Y::i i:�:�:��:�:� :::ii::iiiiiiii i:i�ii::` .:::;:�:::.'.::%!i'iii;.}}.v,::•n::.:..vv:}v: Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention- Drainage Required to: Retention Ponds Proposed❑ Existing❑ Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ Drainage❑ ............................... :.:: YY:•:;.;YY:. 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