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y <br /> LOT LINE ADJUSTMENT <br /> S q U1N C t1NFY OMM N1TY DEVELOPMENT DEPARTMEN <br /> tiPRUPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> 'SITE IMPROVEMENTS AND SERVICES'" <br /> Water ". <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Proposed❑ <br /> Existing D Required Water(Feet) <br /> Private Water Lg' , t Existing Well @-, New Well• ❑ <br /> Well Replacement ❑ <br /> i,hf II Z(.13 k'!k1 1 '�f��� li +i � �y!! - .•,- ',. � _ � <br /> ewage t)laposal <br /> S : f <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facilit <br /> Existing D y <br /> r � <br /> Proposed0 <br /> On-site SeExisting Septic System New Septic'spsfem ❑ Other ❑ <br /> Disposal <br /> r K r <br /> Storm Drainage <br /> Public Storin Service Provider Annex-Formation Terming!Drainage Detention- <br /> Drainage. .. Re diced. <br /> Existing C7"' fl to: Retention Ponds <br /> Proposed <br /> f r-'.:vaia 5iorm Oh-sire Retention Pond(s)❑ Nofural,Dminage/No"Change Other 0 <br /> Drainage❑ <br /> Electricity -f <br /> Natural Gas <br /> Service Provider' Distance to 1.': ""; Service Provider Distance to <br /> Service Service <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to <br /> Service <br /> Service <br /> V �+'Z h N' <br /> School Service' _ Fire Protection Service <br /> Service Provider Distance to Elem Service"Provider Distance to Fire <br /> School <br /> Station <br /> CY) Ll S'b` Srn r' n}' N rE(, t j),7!♦f e,0o g vQ A k <br /> Existing Roads <br /> Road/Street Name: R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> c <br /> Yes O No&I Yes r_7 'No R---- <br /> Yes❑ No O Yes O No❑ <br /> 77. <br /> Proposed Roads <br /> Road/Streo(Name R.O.W.Width Pavement Width" Curb/Guttor Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes ❑ No❑ Yes❑ No❑ <br /> r3 D6vm/jmj..q P[,WAPP9/Ii07LI H[AWAPPr•OAM DLV 211/99 -3- <br />