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APPLICATION - LOT LINE ADJUSTMENT <br /> �•T 'A4 <br /> .y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> • �q IFO(RaY <br /> PROPOSED PARCELS <br /> ExisNe 'Dosed Square <br /> Parcel Number Existingor Pro osed Use of Parcel Footage a or Acreage <br /> I A G t oEKr IL 2 .I A c. <br /> 2 12C t DENTIAL 0sCCICC <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Re uired Water Feet <br /> Proposed C] r7 tt)ATC r— NO 14AExistin F1 V(zWELLS <br /> Private Water EA ExCistinq Well N New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Requi Sewer Facility <br /> Proposed❑ 'gt0ATF— S T( C /,10 A <br /> Existing <br /> On-site Sewage New Septic System El Other ED]Dis osal Existin Se tic System El <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❑ ,4TUVA L e4 I o 4-6C t.40 I ))Jzl COCCIC CS <br /> Private Storm <br /> Draina a On-site Retention Ponds ❑ Natural Drainage/No Change <br /> Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PCs 8 � C cs <br /> ftRoad/Str;eet <br /> e Fire Protection Service <br /> Distance to Elem <br /> School Service Provider Distance to Fin:Station <br /> 2t tLE_ L ISE: f:71FCImo- 21 Mt LC <br /> ExistingRoads <br /> me R.O.W.Width PavementWidth Curb/Gutter Sidewalks <br /> � COQ' t Yes❑ No Yes❑ Nab <br /> Yes❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> FADEVSVCWIanninq Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 05-11-09) <br />