Laserfiche WebLink
>: <br /> APPLICATION - LOT LINE ADJUSTMENT <br /> ;.� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .i 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 /> 177.470 - 7,I IZ41ZAL c Z•07 Aa <br /> 120- D7z "S I DWI A L- 4.13 At, 3. AC, <br /> 2 - 12d- �8 <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Re aired Water Feet <br /> Proposed ❑ <br /> Existin <br /> Private Water14 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 Sewage <br /> Disposal ExistingSeptic System <br /> New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Service Provider(if Public) Required to: Ponds <br /> Proposed E] <br /> Existing❑ <br /> Private Stor <br /> Draina a On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> cc77 Service Provider Service Service Provider Distance to Service <br /> TC;A 6 16ii!ISKM I `f msl <br /> School Service Fire Protection Service <br /> Service Provider Distance to ElemSchool Service Provider Distance to Fire Station <br /> s <br /> Road/Street NamEE4#1 <br /> Pavement Width Curb/GutterSidewalks <br /> 5aNC �Yt1 57.5' Yes ❑ No Yes ❑ No`jZ! 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 /> FADEVSVC\Planning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 05-11-09) <br />