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APPLICATION - LOT LINIME ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> . .......... <br /> A <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> 00—M W,9 L tj u T--< -j c AT <br /> SITE:IMPROVEMENTS AND SERVICES <br /> ,water <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water 0 Fecuired Water(Feet) <br /> Private Water Existing Well Now Well 0 Well Replacement 0 <br /> .......... <br /> ................... <br /> .......... <br /> Sewage <br /> " 6 <br /> . .......... <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal 0 Fequired Sewer Facility <br /> FOn-site Sewage Existing Septic System X New Septic System 0 Other 0 <br /> "to <br /> S4orm Drainage <br /> ... ....... <br /> .. ......... <br /> Public Storm Service ProviderAnnex-Formation Terminal Drainage Detention- <br /> Drainage 0 Required to: Retention Ponds <br /> 4 1 <br /> Private Storm On-site Retention Pond(s) 0 Natural Drainage/No Change Other M <br /> Private <br /> I <br /> F Drainage <br /> ........... <br /> Efettrkity Nai Gas <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> Distance to <br /> Service <br /> 4E <br /> cabin Tejoin;1616n Service <br /> Service Provider ance to Service Service Provider Distance to <br /> Service <br /> protection Service : ::.,.,, <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> 7Z-7 <br /> Fxs-,tlng Road., <br /> Road/Street Name P.O.W.Width Pavement Width Cufo/Gutter Sidewalks <br /> JJ <br /> Yes 11 No� Yes C3 No <br /> Yes 13 NoK Yes 0 No <br /> 13- <br /> Road/Street Name R.O.W.Width Pavement Width <br /> Curb/Gutter Sidewalks <br /> Yes C1 No C3 Yes El No(3 <br /> Yes I No C] Yes 0 No 0 <br />