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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAt]U€N COUAlTY COMMIlNlTY DEVELOPMENT DEPARTMENT <br /> Nu <br /> ; <br /> PROPOSET3pARG1rL <br /> Parcel :S <br /> Number <br /> ;. <br /> Existing or ProPo sed use of parte! <br /> Existing Proposed <br /> Square Footage Square Footage or <br /> ] Vacant Homeslte - orAcrea a Acrea e <br /> 2 Vacant Homesite + 7.2 + <br /> 10.2 + 9. 7 + <br /> INlPRQ{IENtE'9Tii.AND:SERVIGES. <br /> Public Water <br /> Existing✓a Service Provider <br /> Annex-,Form <br /> Proposed Distance to Public <br /> C1R R urreuired <br /> Water Feet <br /> Private WaterC�J Existin Wdl ❑ <br /> $ New Well Well Re facement ❑ <br /> i S <br /> } <br /> Public Sewage <br /> Disposal Service Provider Annexformaffon <br /> Existing O Distance to Public <br /> Proposed❑ Required Sewer Facility <br /> i� • <br /> On-site ❑Se geExisting Septic System Disposal y New Septic System X] Other <br /> Starrn:Dratna 'e <br /> Public Storm II <br /> Drainage Service Provider Annex-Formation <br /> Terminal Drainage <br /> Existing❑ Required Detention.to: <br /> Proo°ser!❑ Retention Pvnds <br /> Private Storm On-site Retention Pond(si ❑ <br /> Draina a t Natural DrainagelNo Change( <br /> Other ❑ - <br /> Naturat Gas <br /> Service Provider Distance to Service <br /> P. G. & E. Service Provider Distance to Service <br /> 2000 feet None <br /> Tele hone Servrce. ... <br /> Cable Teievist0ri:5ervice <br /> Service Provider Distance to Service <br /> Service Provider Distance to Service <br /> P. T. & T, 2000 feet <br /> , : . None <br /> 'School Service - <br /> ::. Fire Protecilon SerGice <br /> Service Provider - <br /> Distancr to Elem Service Prov€der <br /> School Distance to Fire <br /> Clements stailon <br /> l mi le <br /> n <br /> Extstin Roads <br /> RoadlSfree t Name <br /> R.O.W.Width Pavement Width <br /> Mehi-ten Curb/Gutter <br /> 30 feet Sidewalks <br /> 20 feet + <br /> `�` "�-- T•�— _ — Yes 0 No Yes 0 No it <br /> Y s[) Y"0 <br /> ....: :..<: ,:-: .•-Pio osed:Roads :.<r <br /> Road/Street Name R.O.W.Width <br /> Pavement WldtttCurblGutter <br /> Sidewalks <br /> None <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> fi <br /> -3- <br />