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� 'A'. .�:' -y� - "� � '#- '�. �:_C �\.i4V.� i <br /> V1� <br /> � � . <br /> : . ,� �) <br /> t0 BE COMPLETED BY APPLICANT J � EVALUATION FOR <br /> AGENCY US8 ONLY I�I <br /> a. Propwed measures to reduce or control transportarion impacts, iF any: �`' �i <br /> i <br /> I5. PaMic Suricas ' <br /> a. Would the project rault in an increasrd nad fbr publie servica (for example: firc pro- ' � <br /> tcctiaa poli.x pro[eetion.,halth care, schools, ocha)? lf so, generally deuribe.nrj <br /> . �� <br /> b. Proposed measures to rcduce or control direct impaccs on public servic:s, if any.�✓ <br /> i <br /> 16. UtlliWs � <br /> a. Circl utiliti ndy available at the sita lectricit na[ural water e.use x �J <br /> r�, ►�phone, panitary se , septic system, otha. ! <br /> b. Dctcribe the utilitia that arc proposed for the projeei, the utility providing the service, i <br /> and tne genaal wnatruction aetivida bn the site or in the immediate vicin�iry/ �w6i�ch-mi t � <br /> ba needed. ,�-u n q4s� 1 r n2. �n c5� — ���.1 �.(// ; <br /> �- �� ��a�. <br /> C. SIGNATURH I i <br /> The abwe answers are true and complaeto the besr.of my knowledge. I underscand Wat <br /> tha lad aQrncy is rd ing o them ta make ' deci i , <br /> . 5��,:� . . . .. .��: . .�...�����. . . . . . . . . . . . <br /> n,u s�b�«�a: . . .. .. . . . . . . . . . . .. .. . .. . ... .. . ... . .. ...-. . . . . .. ... . . . . . . .. <br /> io. <br /> . ._. _ . � <br /> .. ; <br /> :ys?"'+r"'�'_i R1514"'y'ti'�^�J��'RiM4�i�+�ll.'+i� .��_Y.:ir�w+MiK"4`+^Hi`a'Le-�N.,i �' t. �. 1tY'fb -� —..�114��y+." ...'. <br /> .ir <br /> T:t..�=5 ' .. ,... �a.w .t:o- w.:.�....�. ... . . . • •. .,.:.r.:�,.ma_ . . . .:.._. . �....Y.`-. o...;c�t' t--�n_rIC� .Y_q!'. .. <br />