Laserfiche WebLink
ip <br /> APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square <br /> RFo2taqeor <br /> Parcel Number Existingor Proposed Use of Parcel Footage or Acreage <br /> 5,7 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 Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation TDistance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existing No <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: Pon is <br /> Existing 0 pj0 o� D G-tJ6� <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 96r�T T <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> L., 0- • ,7 . G I Ml tic 5-P S Aj <br /> Existing Roads <br /> Road/Street Name R.O.W.Width I Pavement Width Curb/Gutter Sidewalks <br /> AV&Y nlitjv 54t 3& 1 Yes No❑ Yesjr No ❑ <br /> a2 Q&A55'91tO r -JG r Yes No❑ Yes No ❑ <br /> �i Proposed Roads <br /> i <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No❑ Yes❑ No❑ <br /> Yes ❑ No❑ Yes❑ No LJ <br /> r'%DEVSVGTlanning Application Fennsl Page 4 of 7 <br /> Lo:Line Adjustment.doc.(ReOsed 05-11-09) <br />