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LZ <br /> - -- C G U N i Y -- <br /> FILE NUMBER . <br /> SERVICES <br /> os�iatee <br /> i <br /> Public Service Provider : Will Serve Letter Provided Distance to Public Water: <br /> i Private Existing WellEl L1 0 <br /> MI New Well Well Replacement 4l <br /> M <br /> Wastewater Disposal <br /> ( Public Service Provider : Will Serve Letter Provided Distance to Public Sewer: <br /> { _ El _ 11Private Existing Septic System New Septic System Septic System Replacement <br /> ° <br /> Storm Drainage _ <br /> Public Service Provider : Will Serve Letter Provided Distance to Public Storm Drain : <br /> Private Existing On-site Retention Pond v New On -site Retention Pond Natural Drainage <br /> �� ❑ I ❑ 1 ❑ <br /> OTHER PUBLIC SERVICES <br /> Fire Protection Service <br /> Service Provider: Distance to Fire Station : <br /> i <br /> Page 2 of 3 <br /> Updated 09 /01 /2020 <br />