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S <br /> LINA'ADJUSTMENT <br /> T <br /> APPLICAT <br /> ION <br /> LOT <br /> SAN JOAQUlN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> �P <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existingor Proposed Use of Parcel <br /> Footage or Acrea a Footage;or Acrea e <br /> aa:4V 2 7•a sic <br /> ".SITE IMPROVEMENtS AMp'SERVtCf S <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existing❑ <br /> Private Water New Well ❑ Well Re lacement ❑ <br /> Existin Well � <br /> Wage_DlSp*aal <br /> Pu t <br /> Public Sewage Annex-Formation Distance o Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed❑ <br /> Existing <br /> On-site Sewage <br /> Dis sal❑ ExistingSeptic S stem_ New Se tic 5 tem ❑ Other r [3 <br /> Storm Drainage <br /> Public Storm Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Service Provider(if Public) Required to: Ponds <br /> Proposed❑ <br /> Existing❑ <br /> Private Storm <br /> Drainage❑ On-site Retention Ponds ❑ Natural Drainer e1No Chane Other ❑ <br /> Electricity <br /> Telephone Service. <br /> Distance to <br /> Service Provider. Service Service Provider Distance to Service <br /> Provid'Schoer <br /> SeFvice Fire Protecfloh Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> ` /rM` ev <br /> ele <br /> Existing-Roads <br /> Road/Street Name R.O.W.Width Pavement Width CurblGutter Sidewalks <br /> -Z.2 Yes[]. No Yes❑ No <br /> Yes❑ No❑ LKes❑ No❑ <br /> Pro'. d 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:TEVSVC1PIann1ng.App1icatlon Forms\ Page 4 of 7 <br /> 4 <br /> Lot Line Adjustmentdoc.(Revised 6A-04) <br />