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i <br /> LOT LINE ADJUSTM114�T <br /> SAN JOAQUIN COUNTY COMMUNWYDEVELOPMENT DEPARTNfENT <br /> PROP(�SD PARC�[S <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Foota e <br /> or Acreage or Acreag <br /> S: 7l <br /> z -D6C-Q '/�T�rV(a j>i' j,8 ,4G r: /• Z <br /> Y 4 <br /> t .;; 's 5,TL�lMPR4Y�MEAITS ANA,;SERVICES <br /> Y <br /> 'p'3 '�,.; • : d9'v f �1 <br /> Public Water. Service Provider Annex-Formation Qistance to Public <br /> Existing p Required Water{Feetf <br /> Proposed L7 i <br /> Private Wafer Existing Vyell ': ,New Well ❑, Well Replacement ❑ j <br /> erDi$ ASa � �SdY_�t <br /> p ; x eaa s # .i <br /> Public Sewage Service Provider `Annex-Formation Distance to Pu lic <br /> Disposal Required .. Sewer.Facili <br /> Existing❑ t . <br /> t € <br /> Proposed❑ <br /> i <br /> On-site Sewage Existing Septic System New septic System ❑ Other ❑ I i <br /> Disposal L�3' <br /> ag <br /> vrainage <br /> Public Storm Service Provider Annex Formation Terminal Drainage Detention- <br /> Required <br /> j 1 <br /> Drainage Required to: Retention'Pon�ls <br /> Existing❑ <br /> Proposed❑ . <br /> Private Storm On-site Retention Pond(s)0 Natural Drainage/No Change Other ❑ I <br /> Drainage f� <br /> - 41dT°'`"�� <br /> qr c x 3rd a r s�s��¢ ��' .:..1✓x��-��i �.Yi!+. •��7b�,', 3 :at P°a iy <br /> Service Provider Distance to Service Provider Distance to i <br /> Service Service I <br /> Al. <br /> Telephone'Servlce s r.fcC'atileETe1B I fon$e1YiCB <br /> Survite Provider Distance to- Service Provider Distance to <br /> Service Service <br /> �T " �A/ S/T�_ N� <br /> SchoolServfce <br /> ,�✓ <br /> � I <br /> i,.:: nk f j 'cire�Pro cflOn.S �'y�uC�G) k�d <br /> .T�7 ."~ r;`2.. <br /> Service Provider Distance to Elem Service Provider Distance to Firesfi" <br /> School <br /> Station <br /> C �rit:t. <br /> � <br /> 0TR <br /> Road/Street Name R.O.W. Width _ Pavement Width Curb/Gutter Sidewalks_: <br /> -•�c d N �►�J 1.__ _. �.�.. _ ..._,�• 2�= /'—~ <br /> 'Yes❑ No M�' Yes❑ No B r <br /> Yes❑ No❑ Yes❑ No❑ <br /> L. 'k?rl s r 3 #£ Y •ca+}r P,7-77, <br /> -0; ,n r :,Proposed Roads f <br /> ... ,-. , N. <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter ' <br /> Sidewalks <br /> Yes No 01 Yes C1 No <br /> Yes❑ No❑ Yes❑ No❑ <br /> 1'.11 PMPA LABS Fbb€uery 1.1099 <br /> 3- <br /> € <br /> y <br /> t <br /> s <br />