Laserfiche WebLink
s <br /> APPLICATION - LOT LIE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> r. ss .s EI <br /> FILE NUMBER: <br /> r�P a I <br /> is PROPOSED 'PARCELS <br /> P <br /> I Existing Square Proposed Square <br /> Parcel Number Existingor Proposed Use of Parcel Footage or Acreage Footage or Acrea e <br /> , t- <br /> d/,Vm r <br /> e s <br /> Aq <br /> i :SITE tMRROVEMENTS ANb SERVIdES <br /> Water' <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existing❑ I <br /> Private Water❑ `I Existing Well ElNew Well Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage ,' Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> it <br /> Existing❑ <br /> 2Disp2sal <br /> n-site Sewage <br /> ❑ Existing Septic System ❑ New Septic System Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage i`Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds y <br /> Existing ❑ <br /> Private Storm <br /> Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane pi Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> II D - s/ e S 69n -5-!,/T-- <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> C l .S• 117 hi <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> �.5 , Z 4Yes ❑ No Yes ❑ No tW <br /> it Yes ❑ No ❑ Yes ❑ No❑ <br /> � I <br /> ji Proposed Roads <br /> Road/Street Name R.Q.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No Yes ❑ No <br /> Yes❑ No❑ Yes ❑ No❑ <br /> i <br /> i <br /> F:0EVSVC1PIanning Application Forms\' Page 4 of 7 <br /> Lot Line Adjustment.doc,(Revised 6-3-03) <br /> } <br /> J <br />