Laserfiche WebLink
• ..f <br /> APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existin or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> Ag"el- �Z X • �i6 <br /> Aturu Z' /Ct9 J2 4c e- <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existing <br /> Private Water❑ Existing Well New Well ❑ Well Replacement El <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facili <br /> Proposed ❑ <br /> Existin <br /> On-site Sewage <br /> Disposal ❑ Existing Septic System New Septic System ❑ Other ❑ <br /> Storm Drainage <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 Pond s ❑ Natural Drainage/No Chane X Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> Gc o S <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> =t O 2 f Yes❑ No J4 Yes ❑ No <br /> Yes❑ No ❑ Yes ❑ No ❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width I Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No ❑ Yes❑ No❑ <br /> Yes ❑ No❑ Yes❑ No❑ <br /> FADEVSVO\Planning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised SA-04) <br />