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❑ SERVICES <br /> List the public services and facilities which will br necessary for <br /> the project. Specify what public agency, if any, that will provide <br /> each . If private or individual services are proposed',/­taxplain: <br /> Are services cur- <br /> rently provided? Which City, Special District, <br /> If no, how far will etc . , will be providing each <br /> lines need to be service or what private <br /> Service extended? services are proposed? <br /> Water k Yes X No Darne,,-1),U we Il to i.r��v n� ��; 13 .i.0. <br /> Sewer _Yes X No <br /> Drainage 7l Yes No " <br /> Electricity Yes No t lor"' <br /> Gas Yes No r ��r � r• _— <br /> Yes �No <br /> Pronosed property size and use: <br /> Parcel A size: /LC,°rZ c«.;'a> user„»��j �!Ll _ <br /> Parcel B size: /, 50 _use: i;ici; <br /> Parcel C size: use: <br /> Parcel D size: use: _ <br /> ------------ <br /> SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Owner(s ) (All owners must sign as their names appear on the <br /> deed. ) , <br /> Corporate Officer (s ) empowered to sign for the corporation, <br /> l� Owner ' s legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> and that the foregoing is true and correct . �J <br /> (Signature (Date ) <br /> Lot Line Adjustment - 4 - (8/86 ) <br />