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<br /> APPLICATION - LOT LINE ADJUSTMENT
<br /> SAN JOAOUIN 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
<br /> / es�c,�en is / '577ao X700
<br /> 2- it 7/a o 6150
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<br /> Public Waier Service Provider Annex-Formation Distance to Public �.
<br /> 6cisting Required Water(Feet!
<br /> Proposed
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<br /> Private War
<br /> Existing Well ❑ New Well 0 Wall Replacement ❑
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<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Dlsposal Required Sewer Facility _.
<br /> Existing&
<br /> Proposed
<br /> ,�ac e orc� Gorr�inun�� Serve Dn s��e ,`
<br /> Ori-she Sewage Existing Septic System ❑ New Septic System 0 Other ❑
<br /> Disposal 0
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<br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-
<br /> Drainage Required to: Retention Ponds rr;{
<br /> Existing
<br /> Propose 0 J4f I �JOC� l//f'J
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<br /> 67,
<br /> Private Stone On-site Retention Pond(s) 0 Natural Drainage/No Change Other ❑
<br /> Drainage❑
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<br /> Service Provider Distance to Service Service Provider Distance to
<br /> ServiceLL ,
<br /> P hsI G. 0175/Te
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<br /> Service Provider Distance to Elem Service Provider Distance to Fire
<br /> School Station
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter. Sidewalks �
<br /> _Yep L7_No, Yes:❑: NoX,
<br /> S 701 4D Yes❑ No Yes❑ No
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<br /> RoadlStreet Name R.O.W.Width PaVement Width Curb/Gutter Sidewaiks
<br /> Yes 0 No 0 Yes❑ �Eo l7
<br /> Yee❑ No 0 Yes 0 No 0
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