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(d) ECONOMIC FACTORS <br />(1) What is the present land use within the proposal? <br />(2) What revenue will be needed to support the services which this proposal would require? <br />$ per year <br />(3) What are the prospective sources of revenue to support the services which this proposal would <br />require? <br />(e) NEED FOR ADDITIONAL GOVERNMENTAL SERVICES OR CONTROLS <br />(1) What additional or improved governmental services or controls are needed in the area within <br />this proposal? <br />(2) What are the probable future needs for new governmental services or controls in the area within <br />this proposal? <br />(f) WHAT IS THE PURPOSE OF THIS PROPOSAL? <br />(g) NAMES AND ADDRESSES AND TELEPHONE NUMBER OF PERSONS (nat to exceed three) WHO <br />ARE TO RECEIVE NOTICES AND REPORTS ON THIS PROPOSAL. <br />(h) NAME AND ADDRESS AND TELEPHONE NUMBER OF DULY AUTHORIZED AGENT FILING THIS <br />PROPOSAL, IF ANY. <br />(i) SIGNATURE OF APPLICANT OR AGENT <br />2 <br />