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re"MMIt <br /> r f <br /> YC: <br /> Hr~n <br /> H � <br /> 0H � <br /> � H <br /> O� EvALUAT10N FOR <br /> at COWPLUED by 4PPLICAMT AGENCY LSE ONLY <br /> H z <br /> t*1 O b <br /> S. proposed measures to reduce or control transportation impacts• if any: <br /> � M <br /> n� n <br /> zzy H None <br /> CH <br /> �y En H 15. public ser-ices <br /> O tE a. Wculd the project result in an increased need for public se• Ices (for example: fire pro- <br /> 7 <br /> tq � section. police protection, health care, schools, other)^ if so. ge,erally describe. <br /> z7oC� NO <br /> `.�. proposed measures to reduce or control direct impacts cn public services. if any. <br /> None <br /> 16. Utilities . • "��• <br /> a_C+rcle-wlluieg currentlywadable at the site: electrictty..natuurral_J waxer refuse serv• <br /> ,cc. telephon£. santury sewer, septic system, other' <br /> ,..� b. Describe the utilities that are proposed for the project, the utility prodding the service, <br /> ind the general construction activities on the site or to the immediate vicinity which might <br /> be needed. <br /> +I _ 'lone during development <br /> Com. <br /> C. SIGNATLRE <br /> C= The above answers are true and complete to the best of my knowledge. I undersund that <br /> the lead agency is relying on�them t make its decision. <br /> . . . . <br /> Signature: . . . . . . . . `- . . .G?=.� f.%W�. . .�! rt .!�—• . . . . . . <br /> Date Submitted: <br /> `O <br /> FL <br />