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('16PPLICATION - LOT Li.-,E ADJUSTMENT <br /> A '= SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> Ct p 0'RT� <br /> PROPOSED PARCELS , <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Foote a or Acreage <br /> l�I _ o Srs ofa i pv ,�t 4 L C , + r•J 0 .[v 9,&c- l . 4 `1 .� <br /> u _iso - to ,J ige- Ic_ (ac, 4,Cm I L <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Propos <br /> Exist n <br /> Private Water Existing Well New Well Well Re acement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed <br /> Existin <br /> On-site gewage <br /> Disp2sal.5 Exisfin2 Se tie S tem New Se tic S tem ❑ Other ❑ <br /> $tom4'Dramage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage® On-site Retention Ponds ❑ Natural Draina /No Chan a Other ❑ <br /> fEei ricity Telephone Service:' <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> 5cho`ok Service Frre Pr.otection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to fire Station <br /> 'Exis ng Roads <br /> Road/Street Name R.O.W.Width Pavement Width CurblGutter Sidewalks <br /> IF. tC,rTrz_eAt L/a.r. !'O i f Yes❑ No Yes❑ No[} <br /> Yes❑ No❑ Yes❑ No❑ <br /> PiroposedRoads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> t� pa Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> MEMCOanning Application Formsl Page 4 of 7 <br /> Lot UnaAdowAmeMdoc_(Revised&4-04) <br />