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i P <br /> L T LINE ADJU$TMENT <br /> SAN,JOAQUINGOl1NTYCOMMUNl7YDEVELOPMENT DEPART ENT <br /> D ,r � P L3 f3 tti�e�7f <br /> m <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> ' Square Footage Square Footage <br /> or Acreage or Acreage <br /> 0, �: r r vo l Qoo <br /> 3 60 0 00 <br /> j�i 7~Z 6 apt RI - Lo L[ QQ. 1 3148 <br /> 71 v <br /> } MINI <br /> S , 1V7 IOtF1rM, U {%1 ESS <br /> �,�O. .: <br /> wEl�erY��wt ri est a' ,MON <br /> r al q .Fwle�e <br /> u �.� 9sf.:...:f r a7 r sv.-r^H ti�+�., v4:-:r ..,z '. .hs. <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing ': Required Water(Feet) <br /> Proposed❑ € <br /> 1974;,v xllt /;v ftnr �n v ti <br /> Private Water O Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> yam. <br /> Public Sewage t Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing Q <br /> Proposed❑ %�G/-t <br /> On-site Sewage Existing Septic System © New Septic System ❑ Other ❑ <br /> Disposal❑ <br /> Irf � e� 9 x <br /> a ._ <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> .Drainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm On-site Retention Pond(s)❑ Natural Drainage/No Chang Other ❑. <br /> Drainage❑ <br /> Service Provider Distance to Service Provider Distance to <br /> Service <br /> Service <br /> ia' �le� e Eev1 n 5rvlc <br /> N <br /> e else t c <br /> It � <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> r rrx N is 4 F "g t xr iia' q s „ `"gin Yds <br /> 'aa,. �,,c ? Sahoo:Servfces � ' .�' � IreProf3nSrv �`$ �P <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> /P405,E ifs CT <br /> z Iii% li��= <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter :Sid,ZN <br /> i Yes❑ No Q Yes❑ No❑ <br /> k <br /> y <br /> Road/Sfreet Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks ' <br /> Yes❑ No❑ Yes❑ No❑ <br /> Nv Yes❑ No❑ Yes❑ No❑ <br /> 1:41 PMPA_UBE February 1,1M <br /> —3- <br />