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1'. UT11.1TIES <br />I. Water <br />a. Source for Project <br />Private Well(s) Q <br />Public System [] Agency_ L. t}u-s-42_fDunyy_1W_a-tPr__DisSrict_ <br />b. Distance to Nearest Public Water Connection_ Adjacent_______ <br />c. Are fire hydrants proposed? Yc:; rX� No <br />2. Sewage Disposal <br />A. Type <br />Septic System L_! <br />Private Treatment Plant <br />Public System EJ Agency_ Lhrgp__(<Qt�JJ�tEr_D�.sir�tS__ <br />b. Distance to Nearest Public Sewer Connection��i��ep�____.___ <br />3. Storm Drainage <br />a. Type <br />On-site Ll Method <br />Off-site EX Method Positive <br />4. Natural Gas Supplier_ PG&E____ <br />S. Electricity <br />a. Supplier_ PG&E <br />b. Underground Distribution: Yes u No Ga <br />G. IMPROVEMENTS/DEDICATIONS <br />1. On-site: streets: Q No 1^I Yes 50 feet <br />right-of-way wi thts) <br />curbs: Yes Q No; gutters 1. ^t Yes Q No <br />sidewalks: El No 0 Yes; street lights: Q No Q Yes <br />sewage_ Collection system___ <br />-3- (9/85) <br />