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�., ,�,: <br /> , �: <br /> „Y, <br /> <_,.�-�� ... .___ .�... __ ..._. - --- .-_ <br /> . . _ - • - ti_— � ..._ <br /> - 10 - <br /> �E COMPLETED �Y APPLICANT <br /> EVALUATION FOR <br /> ACENCY pfF ONLy <br /> g. Proposed measura to reducc or centrol transpartation impacts, if any: None <br /> ok-/P.��6-z1-8S <br /> Is. Public Senkes <br /> a. Would the project ruult in an increascd nccd far public scrvicca (fur cxamplc: firo prc,. <br /> tec�ion, po���� prp�ation, hcallh carc, schools, othcr)? I!so, gcncr•rlly dcacribc. No <br /> o1�H�/6 21tS <br /> L�reo.. to �Oe ;+�cll�� d�i/n �V <br /> b. Proposad mqsura to reducc or control direct impacls un public scrviccs, if a�'� by a"�t�� ��� <br /> Y None . ��G, i9�'j <br /> ✓' <br /> 16. Utiiities <br /> � C� ��� available at the sit electricit natural gas, water e use serv- <br /> u ice elephone, anitary sewer septic system, other. <br /> � <br /> b. Describe the utilitia lSat are proposed for the projcct, the utility providing the service, <br /> and the general cons[ruction activities an the silc or in the immcdiate vicinity whicli mighl <br /> be needed. <br /> General Construction to hoop up to uti2ities <br /> C. YI(:YATURE <br /> 1 The above answen are Iruc and complete to thc b�t of,my now�cdge, I undcrstand that <br /> / the Ic•rd agency is rel�^�on hem to mak dc i on.c (, <br /> � , Signature: ....�,., V •"��c°.Y7 ... .;� .. �! / e . <br /> ' �/ /� • � ��:.f;. I� � <br /> Date Submitled: . . .. . . . J �� _c, _ :',�� • �- :> • �... .. . ...... .. . . . . <br /> , � � <br /> . . . i ./. . . . ' . . <br /> / ...r. .. f. . .I. . �: . .,�... . . ... . . . . .. . <br /> ; <br /> ; <br /> I <br /> . ; <br /> ; <br /> �. <br /> � <br /> , <br /> ;� <br /> � ; � <br /> , � <br /> � <br />