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T <br /> f <br /> A. <br /> 1 <br /> APPLICATION - LOT LINE ADJUSTMENT <br /> i SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> s' PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Existing g Proposed <br /> Square Footage Square Footage or <br /> .,�� D D or Acres a Acrea e <br /> -lob ` o Geo p S 6, <br /> SITE.IMPROIIENtENTS::aND.SERVICES ..'[ <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water Feet <br /> Proposed❑ <br /> U" ELL- -too--4 Al <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> a: <br /> Sews a Dis sal <br /> Public Sewage <br /> Disposal Service Provider Annex-Formation Distance to Public I <br /> , <br /> Existing❑ <br /> Required Sewer Facility <br /> Proposed❑ <br /> LC/5T!/ Cr � `iG Z -Zoo <br /> On-site Sewage Existing Septic System s New Septic System ❑ Other 0 <br /> Disposal <br /> Storrti.Draina fe <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Existing❑ <br /> Drainage Required to: Retention Ponds <br /> Proposed❑ <br /> Private Storm -site Retention Pandy) Natural Drainage/No Change ❑ Other ❑ <br /> Drainage 1111#00* <br /> ! i <br /> Electrics Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> . + d SITE Q ±7V,2AL C <br /> Tele Hone Service Cable Television.5ervtce <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> t!o�/ TEz. b 5 iTE <br /> Schaal Service <br /> We.Protection Service . <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School <br /> Station <br /> -Existing;Raads::' rL <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ Nq.V Yes❑ Nv.I� <br /> v Yes 0 No❑ Yes❑ No❑ <br /> - 7.z :1?ro osed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No Q Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -3- <br />