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i <br /> �-� PLICATI4N _ LOT L � <br /> 1 tE ADJUSTMENT <br /> �yy <br /> • _ v� - 1�.... ��'R r V.T. �. <br /> s (Q u T 1 L'I- 1'�f'1 if li /.i"1!✓\ ice/ ■ f-,■i' DEP <br /> A. <br /> ur��::��A S,;Rl:;-a1�:��..?�:: ._ �..�??:IiC:i�;;T ..�:��,.... .l:.r v. :.;E. . ..vl;.�.s. ( . <br /> FILE NUMBER: E <br /> f PROPOSED PARCELS I <br /> Existing Square. Proposed Square <br /> P&s,ti Nii_ir**er Ek"s , -,arProposed Use of Parte! s`e b?A e Foal`e*Pcxea <br /> i 1� Y V�Jft L% G2i Z_`5 Ae— i <br /> Z42 � <br /> SITE MPRO1tEMENTS AND St= MICES <br /> Water <br /> I` <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water(Feet) <br /> Proposed❑ <br /> .Exis2ln .. <br /> .I: <br /> Private Wates Existi�* Well. [�!�~ New Well ❑ Wel!-Re lacement ❑ <br /> i <br /> Sewage l3isposaa <br /> blic Sevuage Annex-Fonnation Distance to Public <br /> Pu <br /> ..4c S. sal Si?rtiiicp l rovidar Required SevireY F2 ilit . <br /> Propc4ed <br /> Existi <br /> On-siti~Sev!a <br /> 'Disposal Existin Se tic stem'❑ New Se tic stem ❑ Other ❑ <br /> StormT)rzi1nage . <br /> Public Storm <br /> Drainage Service.Prmvider.(if.Public). Annex-Forma <br /> � Terminal Drainage � Detention-Retention <br /> Proposed Required to: Pr3nds <br /> Existing❑ <br /> Private.Stormj`1 I. <br /> Draina e f�J On-site Retention Ponds El Natural Drainage/No change Other L� <br /> E:ectr#ciCs; <br /> Telephone-St-N10- <br /> Distance to <br /> -Service Provider .,Service Service.Pmvider Distance to Service <br /> i <br /> . ... .... ..$ }'S`@F'1YiiE@•--...� ._., ._. .,._,.___ --�-- � �res�Senrsce� <br /> Distance-to Elerrr <br /> Service Provider School Service Provider Distance to Fire Station <br /> --------- <br /> ..Existing.Roads � <br /> Road/Street Name R.O.W_Wroth Pavement Width Curb/Gutter Sidewalks <br /> f f f yes❑ No Yes❑ No i <br /> Yes❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> RoadfStreet.Karma. R_O_W.Width. Pavement Width CurhfGuttee I Sidewalks. <br /> /V A <br /> Yes❑ No❑ Yes❑ No❑ <br /> { Yes-f] No,❑ l Yes L( No,❑ <br /> it <br /> F:%DEvs=P1annin9 App5on Forms% -Page <br />