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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED.PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existin or Pro used Use of Parcel Foota a or Acrea a Footage or Acrea e <br /> 14S-110- o5 5t400L t5 I o(9,S rniR•�'1 <br /> 63. 57 �� 45:` 0 /�c <br /> Aper,�11ec�J fZi T - Lc <br /> 0,57 AC, 1 , Z7 Ac- <br /> 51TE.IMP.ROVEMENTS AND SERVICES <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Reguired Water Feet <br /> Proposed ❑ <br /> Existing❑ <br /> Private Water Existin Well New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> or <br /> Annex- <br /> ormation Distance <br /> to Public <br /> x <br /> Public Sewage ed <br /> Disposal Service Provider Facili <br /> Proposed ❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Dis osalS ExistingSeptic System <br /> New Se tac S stem El Other El <br /> 3 <br /> , <br /> k Stores Drainage <br /> : <br /> Public Storm Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Service Provider(if Public) Re uired to: Ponds <br /> Proposed❑ <br /> Existing❑ <br /> Private Storm <br /> Drainage® On-site Retention on Natural Draina elNo Chane ❑ Other ❑ <br /> >clectriaty, Telephone'Serv�ice.. <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> D S ITS <br /> �,. s 6- <br /> l=1re Protection Service <br /> Schaal Sen+ice <br /> =DistanceDistance to Fire Station <br /> Service ProviderService ProviderU 5i0 Lt aF <br /> ,,.ExistinRoads T. <br /> RoadlStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Wpef 0 QS 42 Yes❑ No 9 Yes❑ No <br /> LAAL56 CtVI�i�U& '+4 Yes❑ No Yes[3No <br /> Proposed.Roads <br /> Road/Street Name R.O.W.Width Pavement Width CurblGutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:\CEVSVC%PIanning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 64-04) <br />