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❑ SERVICES <br /> Service Facilities Needed City, Special District, etc . <br /> Water Domestic Calif. Water Service <br /> Sewage Public Service CSA i� o <br /> Drainage Terminal S. and S.J. Irrigation <br /> Electricitv Electrical P G & E <br /> Gas Gas P G & E <br /> Reason for the proposed Merger : This is being done in conjunction with a <br /> Minor Subdivision. This parcel is in a uA-4U Lone anc it is being merged to conform. <br /> SGNATURE <br /> 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 /> j Owner ' s legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> &nc that t e forego n is true and correct. <br /> l <br /> (Signature ) (Date ) <br /> Me_-ueT- of Parceim - 4 e ( 8/86 ) <br /> o �• �� " <br /> Hvil <br /> �\ SITE PLAN BUDISELICH PROPERTY I CHAS.H IIOOMCO-IMC <br />