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'PLICATION - LOTLI)AE ADJUSTMEN7``" <br /> SAN JOAQUIN COUNTY COMMUNITY( DEVELOPMENT DEPARTMENT . <br /> FILE NUMBER. <br /> �,z. �' .fir:- ,x°• , �;.� .:. 'e. r•., <br /> Existing Square Proposed Square <br /> ParcetNumber Existing or Proposed Use of Parcel Footage or.Acrea a Footage or Acreage... <br /> ui ,3.5-/'QL <br /> J2 CZW�9E <br /> S-A 2/ -7$o _S•P, <br /> e <br /> SiTE IM0' bVEMENTS ANQ SERVICES <br /> •. `� - -^ Wates - . <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existing❑, <br /> Private Water❑ Existin ',NeClg New Well-E] Well Re lacement ❑ <br /> Sewage"Disposal <br /> Public Sewage - ` t Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> li <br /> Existin ❑ s w;, -a - ` <br /> On-site Sewage <br /> Disposal❑ Existing Septic System New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> g <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 Ponds ❑ Natural DrainalelNo Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to ,.- <br /> Service Provider { " Service `�" Service Provider Distance to Service <br /> School Service " 'Fire Protection Service <br /> r Distance to Eiem <br /> Service Provider School Service Provider ; Distance to Fire Station <br /> oar N• 2 i+ fze <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> ' Yes❑' No Yes❑ No <br /> Yes❑ No ❑ Yes ❑ No ❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No ❑ <br /> Yes ❑ No ❑ Yes❑ No ❑ <br /> F:\DEVSVCNPianning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment-doc (Revised 6-3-03) <br />