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} <br /> ,oma APPLICATION — LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Prosed Use of Parcel Footage or Acreage Footage or Acreage <br /> � 2 t If,S t <br /> Z 12.6 t 4- <br /> SITE <br /> SITE IMPROV£MENT&AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Re uired. Water Feet <br /> Proposed p <br /> Existing <br /> Private Water Existin Welt New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation distance to Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed❑ <br /> Existing <br /> On-site Sewage <br /> Disposal E)dsfing Se tic S tem New Se is System,❑ Other ❑ <br /> . Stonm:Drainage. <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Re wired to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drains a On-site Retention Pond s Natural Drains a/No Cha a Other [] <br /> Elec#riclty _ Tphone':Sarviee <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> � D � s� - s� <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> L o r�i 2 mr � <br /> Existing-Ronds <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> jQ Z I Yes❑ No 14 Yes❑ No I' <br /> Yes❑ No❑ Yes❑ No❑ <br /> P Roads, <br /> Road/Stmet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:Wr=V8VCW1ann1ng Appiicatioa Forms% Page 4 of T <br /> Lot Line Adjustment.doc.(Revised 64-04) <br />