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LU T LINE ADJUSTMENT <br /> SAN JOAQuiN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage'.3 '� s 3 6, ± <br /> 83 . 7 + <br /> rvnee <br /> r � <br /> i <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water{Feet} <br /> Proposed d <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> Public Sewage Service Provider Annex-Formation Distance to Public i <br /> Disposal Required Sewer Facility j <br /> Existing❑ i <br /> Proposed❑ <br /> On-site Sewa a Existing Septic System New Septic System ❑ Other ❑ <br /> Disposal <br /> Utz <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 Drainagelft Change( Other ❑ 1 <br /> Drainage❑ <br /> 11---WEREI <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> G �. Dom- <br /> c, e e" e " c 0 191 0 ow <br /> 5e <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> ac- Be <br /> w Mao <br /> " rc 7 tec orn 5e c <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> OY! <br /> RoadlStreetName R.O.W. Width PavementWldth Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> u , Yes❑ No❑ Yes❑ No❑ <br /> , os R00 - • <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> 141 PMPA_LA98 Fe6mary 1,1999 <br /> _3_ <br />