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SERVICES------------- <br /> ---------------------- <br /> Service Facilities Needed <br /> Water <br /> City, Special District, etc. <br /> §------ _ __W(0 <br /> .�?ewage <br /> Draina e <br /> .EIectricit <br /> Gas <br /> Reason for the proposed Merger.- r <br /> -------------1 <br /> nS�IGNAT�URE�-------- <br /> certify under penalty of perjury that I am (check one ) : <br /> DTI, Legal(Ownei')(s ) (All owners must sign as their names appear on the <br /> deed. <br /> F-I Corporate Officer(s ) empowered to sign for the corporation, <br /> LIOwner 's legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> and I that \the/I foregoing is true and correct . <br /> .4 <br /> S-ignatu <br /> Merger Of Parcels 4 <br /> (8/86 ) <br />