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TO 3E COMPLETED 3Y APPLICANT <br />H <br />ID <br />YHN <br />g. Proposed measures to reduce or control transportation impacts, if any: <br />H H <br />None <br />fC n <br />H <br />o x0 <br />`V H H <br />to <br />15. Public Services <br />F3 <br />z <br />a. Would the project result in an increased need for public services (for example: fir- pro- <br />0 <br />tection, police prct-ction, health care, schools, other)^. If so, generally describe. <br />1-3 <br />0Hd <br />No <br />/1ag <br />y� Y tCG7 <br />zH3 <br />y H C[�rz <br />CHH <br />b. Proposed measures to reduce or control direct impacts on public services, if any. <br />gta <br />� <br />None <br />n t7 <br />tIJ <br />z H rn <br />16. 'Utilities <br />HOCA <br />- <br />a. Circle utilities ur.-ntly available at the site: aectnc;r+ natura Ra water ewse serv•. <br />w, teieDh—ate mtar�septic system, other. <br />b. Describe the utilities that are'proposed for the project, the utility providing the service, <br />and the general construction activities on the site or in the immediate vicinity which might <br />be needed. <br />Building addition will connect to utilities S .ving <br />existing building <br />C. SIGNATURE <br />The above answers are true an m lete to the -best of my knowledge. 1 understand that <br />the lead agency is relyin rt -tb make " ecision. g <br />...� Signature:.. ...................... <br />Date Submitted: a1. 27/. o.................................................. <br />1—' <br />«� 1 <br />0.1 <br />,n <br />EVALUATION FOR <br />AGENCY USE ONLY <br />