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ti LOT LINE ADJUSTMENT !N COUNTY COMMUNITY REVEL P EN EPAR MENT ,...; . .. PROPOSED PARCELS ' Parcel Number Existing or proposed Use of Parcel Existing Proposed Square Footage Square Footage or Acreage or Acreage A�mesY e. �� f Z as r e, 3 3 , 8 �5fAg, jj k 116.1 MOM Public Water Service Provider Annex-Formation Distance to Public Existing L7 Required Water(Feet) Proposed D Private Water Existing Well New Well Well Replacement ❑ rdrr �:�'-1 �s�r .� �E�aY��v�Y'� -� it "k}ti -.n•., .,'I- - Public Sewage Service Provider Annex-Formation Distance to Public Disposal Required Sewer Facility Existing U Proposod O On-site Sewa a Existing Septic System ❑ New Septic System Other 17 Dispose! j, a p Public Storm Service Provider Anno"x-Formation Terminal Drainage Detention- Drainage Required to: Retention Ponds Existing❑ Proposed❑ Private Storm On-site Retention Pond(s)❑ Natural Drainage/No Change Other O Drainage❑ EleetrVcity Natural Gas Service Provider Distance to Service Provider Distance to Service Service ` :S Service {.able`rBl@VISIol1'SBlV1C@ Service Provider Distance to Service Provider Distance to Service Service S�1-4 i�'.s- ,' t `+. ° i F A/ �,x�"'i f.'{?ru• x a'f } aw s ..u,: ..,}t .�� Y�S,Ghool8ervlr�e � .� . Fire Arotectlon Servlce Service Provider Distance to Elem Service Provider Distance to Fire School Station w; ti � � g1'1q�1#kyrw c''�tS`�-a 5 t Road/Stroot Nam6 R.O.W. Width Pavomont Width Curb/Guttar Sidowalks Q 2.4 Yos O No Yes Cl No Da �- t Yes D NoX Yes Z7 Not' Road/Street Name R.O.W. Width Pavement Width Curb/Guttor Sidewalks Yes❑ No❑ Yes O No 0 Yes O No a Yes 0 No❑ IIIT.Y:IF.H/IIUIiN/VIJWA{'i'A/1.f1'r I:INt110JAPV AIN NLV