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kAPPLICATICN LCT LINE ADJUSTMENT
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT,
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<br /> Parcel Number Existing or Proposed UseofParcel ' Existing Proposed
<br /> Square Footage Square Footage or
<br /> or Acrea a Acreage
<br /> �s me :03 - 85
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<br /> /7-4-.• 35 /42
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<br /> Public Water Service Provider Annex-Formation Distance to Public
<br /> Existing❑ R wired Water Feet
<br /> Prapoeed 0.
<br /> Private Water Existin Well New Well C3 Well Replacement ❑
<br /> Private Walerd
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<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal Required Sewer Facility I
<br /> Existing❑
<br /> Proposed❑
<br /> On-site Sew a Existing Septic System New Septic System ❑ Other ❑
<br /> Disoosa
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<br /> Public Storm Service Provider Annexformativn Terminal Drainage Detention- ,
<br /> prainage Required ta: RetEntian Ponds ,
<br /> Existing❑ -
<br /> Proposed❑
<br /> Private Storm On-site Retention Pond(s) ❑ Natural OralnagelNo Change Other ❑
<br /> Drainage❑
<br /> Electrics
<br /> Service Provider Distance to Service Service Provider 1 Distance to Service
<br /> Tele hone:Servfcl . . ::. «> .... ... :: ..' `C3ble Televisfon'Service :
<br /> Service Provider Distance to Service Service Provider Distance to Service
<br /> e17S/
<br /> *}t
<br /> ::School Service. h t � Ire! 'Ser
<br /> Service Provider Distance to Elam Service Provider Distance to Fire
<br /> School Station
<br /> awl F1 6!1
<br /> x .
<br /> xlsain
<br /> Road/Street Name R.O.W.Widlh Pavement Width Curb/Gutter Sidewalks
<br /> S & Yes❑ NYes❑ No
<br /> Yes❑ No``❑ Yes❑ N'o,❑_
<br /> r
<br /> P o osed.Raads'.
<br />` RoadlStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> Yes❑ No❑ Yes❑ No❑
<br /> Yes 13 No 0 Yes❑ No 0
<br />
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