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I A
<br /> APPLICATION LOT LINE ADJUSTMENT
<br /> =SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed
<br /> Square Footage Square Footage
<br /> or Acreage or Acreage
<br /> `oklzes 5~. D
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<br /> a
<br /> Service Provider Annex-Formation Distance to Public
<br /> Public Water 0 Required Water(Feet)
<br /> Private Water Existing wenjid, New Well Well Replacement 0
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<br /> VIM
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<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal 0 Required Sower Facility
<br /> 1 '
<br /> On-aHe Sewa a Existing Septio System 0 New Septic SystemX. Other, 0
<br /> Dlsposal
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<br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-
<br /> Drainage 0 Required to:' Retention Ponds
<br /> a
<br /> Private Storm On-*Re Retention Pond(s) 13' Natural Drainage/No Change Other 0
<br /> Drainage
<br /> FIRMPM
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<br /> Service Provider Distance to Service Service Provider Distance to
<br /> Service
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<br /> Service Provider Distance to Service Service Provider Distance to
<br /> Service
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<br /> Service Provider Distance to Elam Service. — = -'� Distance to Fire
<br /> School, Station
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Clutter Sidewalks
<br /> SC Q Yes 0 No E:(' Yes O No p/
<br /> Yes 0 No M Yes 0 No 0
<br /> H
<br /> Road/Street Name R.O.W.Width Pavement Width Curblautter Sidewalks
<br /> Yes O No 0 Yes 0 No O
<br /> Yes 0 No 0 Yes O No 0
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