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APPLICATION - LOT LIME ADJUSTMENT <br /> )..'.�. '•.0 <br /> `.? SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> �L,jFOKs, <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existin ❑ <br /> Private Water Existing Well New Well Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal WN <br /> Existin Se tic System ----New-Septic System Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage❑ On-site Retention Pond s ❑ Natural Draina e1No Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> -5 e- <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station I <br /> fry S t S <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width CurWGutter Sidewalks <br /> Yes❑ NoX' Yes❑ No <br /> Yes[I No❑ Yes Nob <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> -.Yes❑ "No(] Yes❑ No❑ <br /> FADEVSVCOanning Application Formsl Page 4 of 7 <br /> Lot Line Adjusvnent.doc.(Revised 6-4-04) <br />