Laserfiche WebLink
eQ�;n APPLICATION -- LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> i< <br /> FILE NUMBER: <br /> ,�•t ko �Z� <br /> PRO"EQ AR9_ P <br /> Existing Square Proposed Square <br /> Parcel Number F_xistiri .or Pro osed Use of Parcel Footage or Acreage Footage or Acreage <br /> Q U.92 - <br /> 6":21,04 44662 APe7v ZA0 <br /> ilia- <br /> t/ <br /> - SI ft9 fN1PriZ�V9MENT$-A1s1I;9 W CES <br /> waw <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existinq❑ <br /> Private Water Existing Well New Well ❑ Well Re lacement ❑ <br /> Sewage posal. <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ _ <br /> Exists ❑ <br /> On-site Sewage <br /> Disposal® Existing Septic stem [}9 New Se tic System ❑ Other [] <br /> _S�ot►n prr�fetege ,_ : <br /> Public.Stomp <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing❑ <br /> Private Stone <br /> Drainage On-site Retention Pond s ❑ Natural Drainage/No Chane Other <br /> ity Tst one Service <br /> fectria <br /> Distance to <br /> Service Provider I Service Service Provider Distance to Service <br /> SahoolcSsrvib Fft PhQolaQrt` �rv1c " <br /> . <br /> Service Provider. Distancence to tol Etem Service-Provider Distance to Fire Station <br /> Schoo <br /> Road/Street Name R.O.W.Width Pavement VtTidth Curb/Getter Sidewalks <br /> /XXT e Vt e-1-e- Yes❑ No Com- Yes❑ No's] <br /> f�-Gi�V! Si �D )t -- Yes ElNo[��- Yes❑ No <br /> Pro . ©d.Roads <br /> RoadtStreet Name R.O.W.Width . Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> FaDEVsvb'w1anning AppllcaGon Formsl Page 4 of 7 <br /> Lot Line AdiusunenLdoc.(Revised 6-4-04) <br />