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LOT LINE ADJUSTMENT <br /> UIN COUNTY &M�DE/. <br /> ti.�11;�� �9P95�D�prlIRCE�.S <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> SgLare Footage Square Footage <br /> crAcreage or Acreage <br /> 3.0 3 .0 <br /> SMEIMPHO.VEMEN'1'Z.A,,✓SERV/CES . <br /> 52"e• "'�� Water. . _ <br /> Public Water Service Provider Annex-Formatlon Distance to Public <br /> Existing 0 Required Water(Feet) <br /> Proposed 0 <br /> Private Water Existing Well 4 New Well 0 Well Replacement 0 <br /> '�"�'�5a��,`9iwips DlrPoaei <br /> Public Sewage Service Provider Annvx-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing O <br /> Proposed 0 <br /> On-site So a Existing Septic System New Septic System 0 Other 0 <br /> Disposal <br /> i n <br /> .,.fp. qq�' <br /> 4yape ! <br /> Public Storm Service Provider Annex-Formation Term'net Drainage Detention. <br /> Drainage Required to: Retention Ponds <br /> Existing 0 <br /> Proposed 0 <br /> Private Storm On-site Retention Pond(s) 0 Natural Drama,le/No Change A'1 Other 0 <br /> Drainage <br /> Electricity , a t'T �*' 3 - Natural Gas - <br /> Service Provider Distance to Service Provide r Distance to <br /> Service Service <br /> I50e <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> .*- Sac 1 <br /> 50` <br /> School ServiceI ' 11?1n;° "- F/re Prc tett/on Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Ktt�o lett t 1 MtL� tZtF� 7ci�c. 2'! <br /> r A �•f3rladnpRoada <br /> Road/Street NameR.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> a4' Yes At No 0 Yes X No 0 <br /> Ye.;0 No 0 Yes 0 No O <br /> Road/Street Name R.O.W. Wldth Pavement Width Curb/Gutter Sidewalks <br /> Ye.;0 No O Yes 0 No 0 <br /> Ye.;0 No 0 Yes 0 No 0 <br /> riDeVSCA/IMRF/i LWerre/wrldxuDJAPIMM Mtv]/IHY -3- <br />