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; <br /> ' . . � . • . <br /> . � � . ' Yes Mpybe No <br /> „4) Public Services. Nill the proposal � . ' <br /> . , have un etfect upon, or result in s • <br /> � needfor new governmentalservices • , <br /> in nny of Uie follo�ving areas? . � • � <br /> . • (a) F�re protection? � ' y� � <br /> ' ' • ,(b) Police protection? _ _�t� � ' <br /> • ' (c) Schools? . . ' ,_ � . <br /> � (d) Parks or other recrealional • , • • <br /> ' facilities? ` � <br /> (e) Maintenance of public facilities, , <br /> , including roads? __ � <br /> • . . <br /> ' (f) ' Other governmental services? _ � <br /> ' Explanation:L� � ,, • <br /> •���� �. w x � • <br /> • (15) EnerFy. Will the proposal result in: . <br /> • • ' , � (a) Use of substantial amounts of fuel � <br /> • • ' or energy? . ! <br /> . _ .. . -� I <br /> ' , (b) Demand upon existing sources of • , � <br /> ' energy, or require the development of � • � i <br /> ; netiu sources of energy? _ • � ! <br /> . � <br /> Explanation: ' ' . � ' � <br /> • • . ' i <br /> . i <br /> ' (1G) Utilitics. {9i11"the proposal result in � . . � <br /> , a need for netiv systems, or cilterations . , • ' • ' ; <br /> to the follo�ving utilities <br /> . ' . , <br /> . (e) Power or natural gas? _ � i <br /> � , � (b) Communicntions systems? . . �C � , <br /> . , ' ' ,(c) iYa4er? _ . _ . � I <br /> , ' ' (d) Sewer or septic tnnks? ._ , � <br /> ,� . • � <br /> - • ' • . _� <br /> :.._. <br />