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LOT LINE ADJUSTMENT <br /> r SliN A /N COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> For Acreage or Acreage <br /> C ✓ I- /� <br /> 0 3 - <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existingx Required Water(Feet) <br /> Proposed O <br /> Private Water O Existing Well New Well O Well Replacement O <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing O <br /> Proposod O <br /> On-site Sewage Existing Septic System New Septic System O Other O <br /> Disposal <br /> Storm Dralnage <br /> Public Storm Service Provider Anndx-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing <br /> Proposed <br /> Private Storm On-site 4tention Pond(s) L7 Natural DralnagelNo Change o Other O <br /> Drainage O <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to <br /> J Service GL Service <br /> •7. <br /> T� <br /> School Servlce Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Is Ing Roads <br /> Road/Stroot Name R.O.W. Width Pavement Width Curb/Guttor Sidewalks <br /> S T !7 G S re Yes O No 19� Yes O NOA <br /> S C/ Z j Yes O No IVYes O No <br /> r„ t Ixtl r' is t�t `Proposed Roads <br /> Road/Street Name R.O,W. Width Pavement Width Curb/Guttor Sidewalks <br /> Yes a No O Yes a No a <br /> Yes O No O Yes O No O <br /> 111I.V Y..N/IIN K/I-AY I'll/IAMA N"WAYY MI. N[V 7/1/99 -�- <br />