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LuT LINE ADJUSTMENT <br /> gAN4QAQVACQ TY COMMUNITY DEVELOPMENT'DEPARTMENT <br /> rxy.� �R�"�+.p� e .t' '" .f. ..€.f,�rF.� x�S�.:�1�3�..•;P4 `� �r:�,r.. � _ r.� .c s. <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> / Z 7 <br /> u o 1sL 'tE s YhA.* <br /> 'M_"! <br /> � <br /> t1yY.. rt, <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water(Feet) <br /> Proposed <br /> Private Water Existing Wel! New Wel! Well Replacement G <br /> @ B�D(S OSR�( �x4 x 3,'•. 9� i <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing O <br /> Proposed❑ <br /> On-site Sea Existing Septic System New Septic System X Other O <br /> Disposai <br /> .a, <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed <br /> Prlvate Storm On-site Retention Ponds}f_7 Natural Dralnage/No Change} Other O <br /> Drainage 17 / ` <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> r t/N" {< <br /> �T,^eslx t"o; e4, Tex:l..els° <br /> Bpablevldn°Sei*x'reu <br /> ;� " <br /> E Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> 1 �„' re srv3p# Cs�#�S{^ cy � t1yzeti� {s�97" 0 <br /> }5F1re,Protection�ServlCe��' �, :.e ?. ,i <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> 3 M/ <br /> i R <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> C (� Yes r7 No Yes FJ No <br /> Yes 47 No 47 Yes C No L7_ <br /> s'n lr�s <br /> h5a F S d�g T1s tia3j Graz � r�t 1 f f 3° �a t a ` <br /> a �.'' y.41w¢ <br /> Road/Street Name R.O.W. Wldth Pavement Width Curb/Gutter Sidewalks <br /> Yes D No© Yes© No O <br /> Yes❑ No C Yes L7 No r7 <br /> r.DCV9LR/IDARK/PLANAPP9/LOTLINCAD]APPlORM REV 4/1199 —3— <br />