Laserfiche WebLink
PROPOSED PAR:.r:LS— <br /> Existing Square Proposed SuuarG Ij <br /> c,._ , <br /> Existing or pro used Use of Parcel Foota e or Ac,Ea^c Foot -: � D- i <br /> Parcel Number <br /> SITE tMPRDVEMENTS AND SERVICES <br /> Water <br /> ::— ;e Pu <br /> Annex-Formation Distato blic <br /> Public Water Service Provider <br /> Re aired Water 0 <br /> Proposed❑ <br /> Existin ❑ <br /> New Well . Well Replaremnt [I <br /> Private Water ExistingWell <br /> -- <br /> Sewage Disposal et;i V <br /> Annex-FormationEDislancu to P-u Public Sewage Re airedewer.Fa;:tlt" <br /> Disposal_ Service Provider <br /> Proposed❑ <br /> Existin ❑ <br /> .0 -site SewageNew Septic.Sm+nm <br /> Dis osal Existing Septic S stere ❑[ -- <br /> Storm Drainage <br /> Deterst; !� <br /> Public Storm Annex-Formation Terminal Dr=-ge oPonds <br /> Drainage Service Provider(if Public) Re aired to, <br /> Proposed❑ <br /> Existing❑ <br /> Private Storm Na <br /> Draina e ral Drainagell`lo Chance Qther <br /> i { - . <br /> On-site Retention Pond(s�C7 -__ -- -- <br /> Telephone Service <br /> Electricity <br /> Distance to . Distance to SC^^ce <br /> Service Service Provider e <br /> Service Provider ., ' ? = <br /> Eire Protection Service <br /> School Service <br /> Distance to Eleni; <br /> Distance to Fire Station <br /> Service Provider ,kk <br /> Service Provider School <br /> 5 <br /> Existing Roads Sidewalks <br /> €'avernent V1lidth CurblGi�tter <br /> R.O.W.Width Yes❑ 1`io� ' <br /> Road/Street Name. Yes❑ No <br /> o ' Yes❑ Nc E7Yes❑ No <br /> .Proposed Roads Sidewalks <br /> Road/Street Name R.O.W-Width Pavement W idth GurblGutter Yes❑ No Yes❑ No❑ <br /> ❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> Page 4 of 7 <br /> FA0EVSVc\Ptanning Application Forms\ <br /> Lot tine AdiustmenUm.(Revised 6-3.03) , <br /> � } 4 <br />