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<br />							APPLICATION  -  LOT LINE ADJUSTMENT
<br />     							SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> 		Public Water 				Service Provider       			Annex-Formation     Distance to Public
<br />   		Existing❑       										Required     	Water(Feet)
<br />  		Proposed❑
<br />		Private Water)(       	Existing Well  		New Well     		Well Replacement ❑
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<br />		Public Sewage				Service Provider       			Annex-Formallon     Distance 10 Public
<br />    		Disposal											Required    	Sewer Facility
<br />   		Existing❑
<br />  		Proposed❑
<br />		On-este Sewage		Existing Septic System   New Septic System       Other ❑
<br />  		Disposal
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<br /> 		Public Storm     		Service Provider   		Annex-Formation      Terminal Drainage 	Detention-
<br />   		Drainage       							Required  		to:      	Retention Ponds
<br />   		Existing❑
<br />  		Proposed❑
<br /> 		Private Storm 		On-site Retention Pond(s) ❑   	Natural Drainage/No Change)<      Other ❑
<br />  		Drainage❑
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<br />      																	Service
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<br />  			Road/Street Name    		R.O.W.Width	Pavement Width  	Curb/Clutter    	Sidewalks
<br />  														Yes❑  NoYes❑  No
<br />  														Yes     No El 	Yes     No
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<br />  			Road/Street Name    		R.O.W.Width 	Pavement Width  	Curb/Gutter    	Sidewalks
<br />  														Yea  No    	Yes     No C3
<br />  														Yes❑  No❑ 	Yes❑  No❑
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