Laserfiche WebLink
APPLICATION - LOT LINE ADJUSTMENT <br /> a�-fit�oG <br /> SAN JOA©UIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED-PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> Z <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 Required Sewer Facility <br /> Proposed ❑ <br /> Existing❑ <br /> On-site Sewa e <br /> Dis sal Existing Septic S stem New Septic System Other ❑ <br /> s6mbrainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing❑ <br /> Private S or <br /> Drainage' On-site Retention Ponds ❑ Natural Drains a/No Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> �1 <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Existt Roads <br /> f, Road/Street Name R.O.//W.Width Pavement Width Curb/Gutter Sidewalks <br /> r I^ a CO J r Yes❑ No Yes❑ No K <br /> Yes❑ No❑ Yes❑ No❑ <br /> Pr ed-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 /> Fi0EVSVC'P1anning Application Formsl Page 4 Of 7 <br /> Wt Line Adjustment.doc.(Revised 6-4-04) <br />