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Prefix
Mr.
Mrs.
Ms.
Mx.
Miss
Dr.
Prof.
First Name
*
Middle Name
Last Name
*
Last Name
*
Phone Number
*
Email Address
*
Sewer
There is a sewer line from the city, and it CAN be connected
There is a sewer line from the city, and it is ALREADY connected
It needs a septic tank
There is already a septic tank
Other
Water
There is a city water line, and it is ALREADY connected
There is a city water line, and it CAN be connected
There is currently a well
There is NO well, and must be added
Other
Electricity
The lot is near a main road and electricity can be easily connected
The utilities are far away, and it MAY be tough to connect
Other
Trees
Cleared
Wooded
Partly Wooded
UNKNOWN
Other
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