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PROPERTY SITE IMPROVEMENTS AND SERVICES <br /> WATER <br /> Distance to Public We r <br /> Public Water Service Provider: Annexation or Formation Required (ft.) <br /> Existing O Yes ❑ No L3P sed L2 <br /> Private Water., Existing Well ❑ New Well O <br /> T. <br /> Other. <br /> SEWAGE DISPOSAL <br /> Public Sewage Disposal Service Provider. Annexation or Formation Required? Ifl.rt,ty <br /> nce to Public Sewer <br /> (miles) <br /> Existing Yes No <br /> P2e2sed <br /> On-Site Sewage Disposal: Existing Septic System New Septic Sy em I <br /> Other. <br /> STORM DRAINAGE <br /> Public Storm Drainge Service Annexation or etention-Retention Terminal Drainage to: <br /> Provider: Formation Required? Ponds? <br /> Existing Yes r Yes <br /> Prosed No < No <br /> Private Storm Drainage: On-site Retention Pond(s) I Natural Drainage/No Change i <br /> Other. <br /> ELECTRICITY <br /> Service Provider Distance to Service: <br /> TELEPHONE SERVICE <br /> Service Provider. Distance to Service: <br /> SCHOOL SERVICE <br /> District Distance to School: <br /> Elementary: <br /> High School: <br /> FIRE PROTECTION S RVICE <br /> Service Provider: Distance to Fire Station: <br /> EXISTING A9tESS ROADS <br /> Roa&Str t Name R.O.W.Width Curb/Gutter Sidewalks <br /> i Pavement Width <br /> Yes No Yes No <br /> Yes No Yes No <br /> -a- <br />