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,4 e <br /> APPLICATION - LOT LINE ADJUSTMENT <br /> t x SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSE6 PAftGEI_`S <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Foots a or Acreage Footage or Acreage <br /> o -ISO- 2 2 12-2 <br /> t o _19)0- ar ac. Ac <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed <br /> Existin2 cmi 6&OXIECA . N p oN <br /> Private Water❑ Existing Well New Well ❑ Well Replacement ❑ <br />' , . 5ewafge"pisposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facili <br /> Proposed❑ <br /> Existing❑ 'Sieprte— <br /> On-site Sewage <br /> Disp2sat❑ Existing Septic System ❑ New Septic System A Other ❑ <br /> Public Storm <br /> Drainage Service Provider if Public Annex-Formation Terminal Drainage Detention-Retention <br /> 9 � ) <br /> Proposed❑ Required to: Ponds <br /> Existing❑ o–s <br /> Private Storm <br /> Drainage❑ On-site Retention Ponds Natural Drainage/No Chane ❑ Other ❑ <br /> 4 3,rr `i FIG ]/ l F J r x r .... . _, a@lelteOnE S8CY1C$f " r L <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> Ste aN .r S 1T'6 <br /> z�„�r s� .e,�. •r;Yw�`CitOia�S$Fit'VriCB�s.�4..� +,� a,•�', x '�• ..!'` `' �i�B�r�1fBCtion S8�1liG@ �c.::%` r'3 f` 'yam <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> N to 1V I p• <br /> j <br /> ng.,ROads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No N Yes❑ No($ <br /> Yes ❑ No❑ Yes❑ No❑ <br /> OSB ROa1dS t v <br /> ..y , f <br /> Road/Street Name R.O_W,Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes ❑ No❑ Yes❑ No❑ <br /> F_1pEMC1Pianning Application Formsl Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 8-4-04) <br /> I <br /> I <br />