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k <br /> LOT LINE ADJUSTMENT <br /> SANVOAQUIN 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 /> F <br /> Public Wafer Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water(Feet) <br /> Proposed❑ <br /> Private Water Existing Well)< New Well A Well Replacement ❑ <br /> f � ewalle,! still, ?". ' <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing❑ <br /> Proposed❑ <br /> 'i <br /> On-site Sewa a Existing Septic System New Septic System Other E3Disposal <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Orainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> Y <br /> Private Storni On-site Retention Pond(s)❑ Natural Drainage/No Change Other ❑ <br /> Drainage t] <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> PService <br /> e ! is10 Seryl <br /> Service Provider Distance to <br /> Service <br /> roIf.,, `� lB P Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> v M i /e, <br /> " s'ik G _ l <br /> Road/Street Name R.O.W. Widfh Pavement Width Curb/Gutter Sidewalks <br /> f Yes❑ No❑ Yes❑ No❑ <br /> / yes[] No❑ Yes❑ No D 44 <br /> � a <br /> ' a!� .L G.. R`-.6. ,iTi §NANO <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> f <br /> Yes❑ No❑ Yes❑ No❑ ! <br /> i <br /> 1:41 PMPA_6496 Felxu@ry 1.109 ' <br /> -3- <br />