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L LINE ADJUS TNENT .. L <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT` <br /> �ro <br /> A. <br /> PROPOSED PARCELS ' <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage cr Acreage <br /> ExiSti tUi ri u 2 �To CD +aff. <br /> iSITEIMPROVEMEN73AND SERVICES° 5 d q <br /> i - <br /> r-. Weter <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water(Feet) <br /> Proposed❑ <br /> i <br /> Private Water b` Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Dlsposa! <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing❑ <br /> Proposed❑ <br /> I <br /> On-site Sewage Existing Septic System ❑ New Septic System ❑ Other �" Q <br /> Disposal JEr <br /> Storm Drainage <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 Change f Other ❑ <br /> Drainage <br /> Ei.AyY:. <br /> Electricity 'Natuna!Gas •, <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> P G E '4 D FT. one_ <br /> TelephoneGable TeIBY1SIQn.5e, <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> t�(1GFic. ruelti yo 1:r. none.. <br /> IN <br /> .'School Service > FlreProtection Sen!fcE3 ' � �� <br /> Service Provider Distance to Vern Service Provider Distance to Fire <br /> School Station <br /> .I�e �-lo ne. n �eVOJl C)mg_ <br /> cXlStlnl]RoBdS #,r p4 uT � t - xx � aF �q <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> `i D._. - C�CD Yes❑ No 2( Yes❑ No AT <br /> e(iU_),(d5 &0 Yes❑ No 12d Yes❑ Nolk <br /> & 3 *t r:¢Y <br /> d Proposed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> QOi G{Gbe_t Yes❑ No Sr Yes❑ NOR <br /> Yes❑ No❑ Yes❑ No❑ <br /> 1:47 PMPkLAYE February 1,iM <br /> _3_ <br />