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f <br /> a <br /> -pis ,1 APPLICATION — LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of ParceE Footage or Acreage Footage or Acreage <br /> 5-0-70-5445b 44. - Lµrff 0R0Vo?,Zb 78. CS ft.14 !' Act <br /> 63.o7o>55 A6. - C146W W-W-D It, 20 _ ACS /0.00 IAes <br /> SITE:IMPROVEMEN.TS 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 Replacement ❑ <br /> I Sewage.'Disposat <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 ❑ Existing Septic System New Septic System ❑ Other ❑ <br /> orm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing ❑ <br /> i <br /> Private Storm <br /> Drainage ❑ On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity Telephone <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> ONSI?E kr -r 04SPTe- <br /> School Service. Fire Protection..'Seryice <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Existing'Roads.' <br /> Road/Street Name R,O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> NF—Al6q LAA16, &0' Z3.50� Yes ❑ No K Yes❑ No 0' <br /> Yes ❑ No❑ Yes❑ No ❑ <br /> Pro posed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> (.NHS► Yes ❑ No❑ Yes❑ No❑ <br /> Yes ❑ No❑ Yes❑ No aj, <br /> F:IDEVSVC1Planning Application Formsl page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 5-4-04) <br />