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O 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 P o (nsk 5 <br /> Sewer _Yes Zc No a1 e_— <br /> Drainage _Yes X No Gv. 5� f �� ,�„�a.•D � <br /> Electricity K Yes No <br /> Gas _Yes )< No /V, A <br /> Yes No <br /> Proposed property size and use: <br /> Parcel A size: . '10/ use: GCeL,L1.�1-1GZt. <br /> Parcel B size: . 572 Ar-res use: cVn„ G.ovs� <br /> Parcel C size: use: <br /> Parcel D size: use: <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 /> 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 /> (Signature ) ,- (Date ) <br /> }i <br /> I <br /> i <br /> Lot Line Adjustment - 4 - ( 8/86 ) <br />