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yu tl ' <br /> a�a�ln APPLICATION — LOT LINE ADJUSTMENT <br /> ' s SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> E)dsting Square Proposed Square <br /> Parcel Number Usting or Proposed Use of Parcel Foo a or Acreage Footage or Acreage <br /> 1 Existing house 2.25 <br /> 2 Existing house, shed, 41 . 22 <br /> mobile home, barn, orchard <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public. <br /> Public Waw Service Provider Required Water Feet <br /> Proposed❑ <br /> Esasdno El <br /> Private Water Gds Wei New Well Well R t <br /> S wfte Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Proposed 13Service Provider uired Sewer Fadfity <br /> E>asti <br /> O"te sewage <br /> Di 10 EAsting Septic ablem New2222222Ystom ❑ Other <br /> Storm DralnaQs <br /> Public Storm <br /> Dralrrege Service Provider of Public} Mr=-Formation Terminal Drainage Detention-Retention <br /> ❑❑ uked to: Ponds <br /> E*dngPrivate Storm <br /> Dmi On-site Retention Ponds Natural DralnogalNo Che a Other <br /> Elft Teleplform Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E lAt Site Verizon <br /> School Service Fire Protection Service <br /> Distance to Eiem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Rij22n Unified 5 Mi . RilDon Fire 2 . 8 Mi . <br /> E)dstiino Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Louise 40 ' & 50 ' 24 ' Yes[I No[I Yes❑ No <br /> Yes❑ No❑ Yes ❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> None Proposed Yes El ❑ Yes El No E] <br /> Yes ❑ No ❑ I Yes ❑ No ❑ <br /> FADE VSVCkMannjng AppUoation Formsl mage 4 of 7 <br /> Let line Adjustment.doc.(Revised 6-4-04) <br />