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i <br /> 4 f <br /> P APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PRQPOSED°PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of.Parcel Foota a or Acrea a Footage or Acreage <br /> SITE IMPROVEMENTS ANDD ERVICES, <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required <br /> 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 <br /> Service Provider Required Sewer Facili <br /> Proposed❑ <br /> Existin ❑ <br /> On-site Sewa New Se tic 5 stem Other El <br /> pis osaf. Existing <br /> Se tic S tem ❑ <br /> Storm Drainage: <br /> Public Storm Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Service Provider(if Public) Re uired to: Ponds <br /> Proposed❑ <br /> E=xisting ❑ <br /> Private StqruA <br /> Drains e ISI On-site Retention Ponds El Natural Drains efNo Ghan a Other ❑ <br /> € Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to 5e ice <br /> School Service Fire Protection Service <br /> Distance to Elem ervice Provider Distance to Fire Station <br /> Servi a Provi er School <br /> I /?1D e r . <br /> Existing Roads. <br /> RoadlStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yr'11, Yes❑ No❑ Yes❑ No❑ <br /> proposed Roads <br /> i Road/Street Name R_O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes[I No El <br /> Yes❑ No❑ Yes❑ No❑ <br /> RXDEV5VGTlanning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 6-0-04) <br />