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(-1 SERVICES <br /> List the public services and facilities which will be necessary for <br /> the project . Specify what public agency, if any , that will provide <br /> each . If private or individual services are proposed, explain: <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 _Yes X No N/A <br /> Sewer _Yes X_No N/A <br /> Drainage _Yes X_No N/A <br /> Electricity X Yes _No - <br /> Gas _Yes X_No _N7A <br /> Yes No <br /> Proposed property size and use : <br /> Agriculture - barn, corral, <br /> Parcel A size: 4.51± use: shop, residences <br /> Parcel B size: 159.9± use: Agriculture - alfalfa and pasture <br /> Parcel C size: - use: - <br /> Parcel D size: - use: - <br /> l� 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 /> Q Corporate Officer ( s ) empowered to sign for the corporation, <br /> U 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 . <br /> (Signatures ) / (Date ) <br /> a LlrL� <br /> Lot Line Adjustment - 4 - ( 8/86 ) <br />