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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ..................... <br /> Parcel Number Existing or Proposed Use of Pwosl Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> See Attached (Page 3) <br /> ISOM. <br /> 1111 WNW. <br /> 4 "2L VIPMfW1 AND Ow <br /> Wide <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing 0 Required Water (Feet) <br /> Proposed 0 <br /> Private Water 0 Existing Well M New Well n Well Replacement Ci <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Dlsposal Required Sewer Facility <br /> Existing 0 <br /> Proposed 0 <br /> Sewage Existing Septic System xx New Septic System){% Other 0 <br /> Disposal 0 <br /> ......... <br /> 'Biota ESI'algNge <br /> Public Storm Service Pluvider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing 0 <br /> Proposed o <br /> Private Storm On-site Retention Pond(s) 0 Natural Drainage[No Change GF Other Ll <br /> Drainage 0 <br /> ............ <br /> Service Provider Distance to Service Service Provider Distance to <br /> I <br /> Service <br /> P.,G.&E Adjacent P.G.&E• Adjacent <br /> Teleph <br /> one Service <br /> Cable relovision Service <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> Pacific Bell Ad'acent None <br /> Service Provider Distance to Elem Service Prcvider Distance to Fire <br /> School Station <br /> Linden 4 miles TA nden/ Peters 4 mi I ps <br /> Existing Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Hewitt 40' 20' Yes 0 No Is Yes [] No Cr <br /> Copperopolis 80, 24 Yea 0 No 0 Y,,1`1 Non <br /> W; .. ..... . ............ <br /> . :. ....... % <br /> Road/Street NameR.O.W. Width Pavement WidthCurtVGutter Sidewalks <br /> Y <br /> — A- -____f <br /> None es 0 No 0 00 <br /> Yea <br /> f_Y-1 0 No 0 Yes C1 No D <br /> -3- <br />