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Lk,-,- LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 3 z'"'�tBkr <br /> RCELS <<8a" l b' Sa, . <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> 37, 413� ¢� <br /> ' SITE IMPROVEMENTS AND SERVICES <br /> z <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water(Feet) <br /> Proposed❑ <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> c� <br /> ewage Disposer,`>> <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing O <br /> Proposed❑ Y / <br /> On-site se a Existing Septic System p� New Septic System ❑ Other ❑ <br /> Disposal <br /> Storm Drainage - <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention. <br /> Drainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm On-site Retention Pond(s)❑ Natural Drainage/No Change Other ❑ <br /> Drainage❑ <br /> .t tiray t 'i?" mza.#a„-.t�-�5 <br /> , t,rNaturalGas- _.. <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> G, Q4-5/fe <br /> Telephone,SeMce Cable:Television:Service <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> — S <br /> Fire Protection Servico <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Existing Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> r/�P�O Z Yes❑ No Yes❑ N <br /> CI {� cz A76�' 4 Yes❑ Nog� Yes❑ N <br /> Proposed Roeds-„ ” . <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> 1 xl PMPA LAB!Ffd sa 1 1911 <br /> -3- <br />