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Parcel Number <br />Public Water <br />Existing 0$ <br />Proposed 0 <br />Private Water 0 <br />APPLICATION LOT LINE ADJUSTMENT <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT ]—a— <br />Service Provider <br />A-rm vj_!�-nz, VI <br />Well a New Well <br />Existing <br />Proposed <br />Square Footage <br />Square Footage or <br />or AEea a <br />Acres c <br />STO SP <br />7, 971 Sr <br />Existing <br />Required <br />7,071 --;r <br />Annex -Formation Distance to Public <br />Required Water (Feet) <br />Public Sewage <br />Service ProviderA <br />nnex-Formatian <br />Distance toPublicDisposal <br />Existing <br />Required <br />Sewer Facility <br />Proposed[] <br />On-site Sewage <br />Existing Septic System 0 New Septic System 0 Other 0 <br />,Storm : rainaO,. <br />Public Storm <br />Drainage <br />Service Provider <br />Annex -Formation <br />Terminal Drainage <br />Detention - <br />Existing <br />Required <br />to <br />—Retention Ponds <br />Proposed 0 <br />®rf Srw3 --S-OA QL U I P1 <br />Te - <br />Private Storm <br />Drains geQ <br />On-site Retention Pond(s) C3 <br />Natural Orainage/No Change 0 <br />Other 0 <br />X.-tlectrici <br />I ]:j <br />aturat.Gas " <br />a <br />Service Provider <br />Distance to Service <br />Service Provider <br />Distance stance to Service <br />Teleoitone:Servece :. <br />" tron <br />able:16ievi <br />Service Provider <br />Distance to Service <br />Service Provider <br />Distance to Service <br />Sery <br />Eire. ..rotecl bmservice. <br />Service Provider <br />Oistance to Elern <br />Service Provider <br />Distance to Fire <br />I <br />School <br />Station <br />Lh j X-tj U14 If <br />00-5 rn'Le <br />L <br />Ex st n'' Rdadi::: <br />_Ro.adlStreet Name <br />�R.O.W. Width <br />_Pavement Width <br />Ct)rbtr utter- <br />—Sidewalks <br />Moolt- V15-1 A <br />32- <br />Yes A No CJ <br />Yes No 13 <br />yescl Noo <br />l Yes 0 No 0 <br />RoadlStre.t Name R.O.W. Iffidth Pavement Width <br />Yes 0 No [j Yes 0 No [3 <br />Yes 0 No 0 Yes 0 No 0 <br />