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3523 PAINE AVE 2016-01-01 MF Import
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3523 PAINE AVE 2016-01-01 MF Import
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Last modified
2/25/2017 5:30:04 PM
Creation date
2/25/2017 5:29:51 PM
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Address Document
Street Name
PAINE AVE
Street Number
3523
Imported From Microfiche
Yes
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-0 B: COMPLETED BY APPLIC�NT EVALUwTION FOR <br /> �GENCY USE ONLY <br /> e. Pr000scd measures to reduce or control transoortation �moacts, ii any: � <br /> i <br /> I <br /> � <br /> �1 i �i�� �7�-� , <br /> I:. Public Servica <br /> a. Would the oro�ect result in an increased need for public servica itor example: fire pra <br /> [ecnon, pol�ce oro[ecuon, health care, schoois, otherl'•' If so. generally daeribe. <br /> i <br /> /�./ !_� i <br /> S. Pr000sed measurcs to reduce or control direct impacts on ouolic srnicu, if any. <br /> f.,�J •'-' � - °`///v-- <br /> o. l;iilities _ <br /> s. Cirde-uuiiues,currently avudable at the sne electncrty<n ta ural gas�aeer�(use scrn <br /> ice.'idephone{amtary sewer. sepuc-syuem, oth — �_ <br /> \ <br /> b. Describe the ucilities that are proposed for the pro�ect, the utility providing the service. , <br /> and the general construcuon activities on the site or m the immediate vicinity which might I <br /> be needed. ; <br /> �{ , ; /L; ;i- '' <br /> /� <br /> C. SIGN�TURE <br /> Toe above answers arc true and compiete to the best oi my knowicaee. I understand thac <br /> che lead a¢ency is relym¢ on them to make,ns decision. . �� / <br /> Signawre: _� «,..��_. .L�. . . ,. .,/6:��•.:- . . . .�.�.L:�.L� �. . . .1...�.u-c�.S.c,;:._. <br /> Date �ubmnted: . . . . . . . . . . . .... .-. .�:.'f/. . . . . . . . . . . . . . . . . . . . . . <br />
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