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A" <br /> PLICATION LOT L'�. IE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> W. <br /> FILE NUMBER: <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreaqe Footage or Acreage <br /> 297--�QqQ-29 Reqi d en r--e- 1 .33 ac <br /> 257--090-30 Vacant Land 32 .78 ac <br /> SIT.P MPR©1IEMENTS AND <br /> SERVICES <br /> ................. <br /> Water <br /> a v <br /> j <br /> i 7 <br /> LF <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water(Feet) <br /> Proposed E] <br /> Existing El <br /> Private Water[j] Existing Well Now Well El Well Replacement E] <br /> ­Vt: <br /> SewageL7isposaF <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed F1 <br /> Existing 0 <br /> On-site Sewage <br /> Disposal Existing Septic System New Septic System El Other ❑ <br /> storm:Dra>Inage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed El Required to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainaqe On-site Retention Pond s) ❑ <br /> Natural Drainage/No Change Other <br /> ................. <br /> ell V. <br /> a n <br /> Ek t <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E At Site Verizon At Site <br /> School=ServiceJiFire Potecticn Service <br /> ........... <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Mantera Jjnified_ > 5 miles Lathrop—Manteca 5 miles <br /> ................. <br /> Eftil dl;R*a s <br /> d <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Div i 2jorL__R_aad Yes El No El Yes El No Ej <br /> Yes 0 No El Yes 0 No El <br /> ........................ ................... <br /> . . ................. <br /> .... . ............ <br /> Pro osed;; ....... <br /> ............ <br /> 11 ad a <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes 0 No El Yes El No El <br /> Yes[:] No El _YeLp _No�E] <br /> PkIDEVSMPlanning Application Formsk Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br />