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m <br /> �-..'Uf <br /> PLICATION - LOT LAE ADJUSTMENT <br /> 4: <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> » X <br /> FILE NUMBER: <br /> 4�lF...RN <br /> O <br /> PROPtPARCEL.S <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Aame or Acreage Footage or Acreage <br /> 1 Residential 2.65 Acres 2.00 Acres <br /> 2 Residential 2.29 Acres 2.00 Acres < <br /> 3 Residential 2.34 Acres 2.16 Acres <br /> 4 Residential 2.62 Acres 3.74 Acres <br /> 4 4 _ <br /> _ ;`• ", SITE IMPRYONEMENTS AND SERHI9E P <br /> � _ .rk, �r �``,�S � r � °� �ii��, c if■atP.r.F-t°t4£z,� 3 �'4°`,.� 'c rb .7 � F a i '.,r} � K� <br /> Public Water Annex-Formation ' Distance to Public <br /> Service Provider Required Water Feet <br /> Proposed❑ <br /> Existin ❑ <br /> Private Water Existing Well ® New Well ❑ Well Replacement ❑ <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facili <br /> Proposed❑ <br /> Existing ❑ <br /> On-site Sewage <br /> Disposal❑ Existing Septic System ® New Septic System .❑ Other ❑ <br /> SfOrril 1dFdlnag@ Y { r"y yar .,,w. ii ' a l <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 5 ❑ Natural Drainage/No Chane ® Other ❑ <br /> Eli3ctricity ' 7. <br /> �� � ; Telephane Service`s r <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P.G.&E: Adjacent Verizon Adjacent <br /> r <br /> n f., <br /> Distance to Eiem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Linden Unified School Dist. 5 Miles Linden-Peters 5 Miles <br /> v 3 <br /> :RQadS - <br /> ra 4` � <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter . Sidewalks <br /> Hewitt Road 50' 24' Yes ❑ No ® Yes ❑ No E <br /> Yes ❑ No❑ Yes❑ No❑ <br /> z �: Yw � r at•w,�k �s <br /> v; <br /> Pro osed iRoads s _ . <br /> a <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> FADFVSKTIanning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br />