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oe4�IN APPLICATION — LOT LINE ADJUSTMENT <br /> )r'��'A <br /> _:` i SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> N <br /> �' � FILE NUMBER: <br /> �P <br /> rFOF� <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> ' 97c, —(b L_ 5i(. p 5 6) f, <br /> - 07 FLIL, _�5,s_2 7 5;1+9- <br /> 124 <br /> 49i L- 23 <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existin <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed❑ <br /> ExistingHG`i© N o <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 a h(O <br /> Private Storm <br /> Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> hq iD AT <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> 4. J. �j•A . C MM HG`s9 -� I.5- &%1 <br /> Existing Roads <br /> Road/Street Name R.O.W.Width I Pavement Width Curb/Gutter Sidewalks <br /> Aye.ettweo 54t 36 t Yes No❑ Yes No El j <br /> E-SrVH o 3L� Yes No❑ Yes No ❑ <br /> nAa-ldutlS u." b2 et�` X <br /> ii Pro osed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes LJ No ❑ <br /> eweVsvcwtanning A pflcaton Form=_. Page 4 of 7 <br /> Loi Line Adjustmentdm.(Rmised 05-11-09) <br />