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� <br />TO !E COMPLETfD BY APPLICAfiT <br />EVALUATON FOR <br />AGENCY VSE ONLY <br />g. Proposed measures to reduce or control transportation impacts, if any: <br />� r�u. cx��ur�u�o�t -rr�� t°�.�.i. <br />I5. Public Senices <br />a. Would the project rault in an incrused need (or public serviccs (for ezample: firc pro- <br />tection, police protcction, health care, schools, other)'! If so, generally describc. <br />IJO <br />b. Propoud measuru to reduce or control direct impacts on public serviccs, if any. <br />�.Y/ �/ <br />16. Utilitia <br />a. Circl utilitia cu tl available at the site:� atura wa refuse se <br />i e one nitary sew , septic system, other. <br />b. Describe :he utilitia that are proposed %r the project, the utility providing the service, <br />and the general wnstruetion activities on the site or in the immediate vi:inity which might <br />be needed. � <br />�i J� �. u� o� �i,�ne��1,, tJ�ul�t. c�i, <br />tiQ1 �if%lc. r� ¢'i�t.lif°1�i01J�%• <br />C. SIGNATURE <br />The above answers are true and complete to the best of my knowledge. 1 understand that <br />the Iead agency is relying on them to make its decision. <br />Signnture: ............................................................... <br />D�te Submitted : .......................................................... <br />10. <br />