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LOT LINE ADJUSTMENT <br /> SAN tQAQU1N COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> i4�a s':<G°��� �¢ � l •?' z�r as ry�� yx $ r <<. � �- <br /> }.�z,4 <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage orAcreagel,­ <br /> -9v a <br /> »,. .ti3� ' •ra, .�...4 ear ., <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 17 <br /> rrpp 4 ` � Se Wi ..sal <br /> I <br /> Public Sewage Service Provider Annex-Formatlon Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sewage Existing Septic System )(New Septic System ❑ Other ❑ <br /> Disposal❑ <br /> ,. A ��, r.'�,+,'.E-RUN w.,a? <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❑ <br /> a8 � <br /> rvice Pr vfder Distance to Service Provider Distance to <br /> Service Service <br /> 1 AMI. <br /> '. �cTIeplionS ry ce a'le .ej 3s o <br /> Service Provider Distance to. . Service Provider Distance to <br /> Service Service <br /> � �. <br /> ' �:ti,� t <br /> $ �irI P�.ted S���Ce <br /> Service Provider Distance to EfeniService Provider Distance to Fire <br /> School Station <br /> n <br /> a: -.c i ;S i �., yz;.,aaa,r. c E e Yip 7 x �•9,.}'a; 4 � 9 °¢ 7f - ,y�' + -x`a",(� �`.� ys*h1 ; �,�. <br /> r. ( �?��d#,1`4 � ..r*s�:e ;..°a" `eh ',"a 'i',..t., Jt:'`,swlSt1n9RodS.' :�, zt�zk�.,-c�F.t4'' ',�., t..,,�`.._ < %.Y.-'<4,. � ;.,. a'.'r.'`w,.&.ar.? <br /> �. : <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes O No 2X Yes O No <br /> _-..._ <br /> Yes❑ No C Yes© No❑ <br /> cyj r7�^'. � L� :,`��, :1• _..< � @f1 <br /> Road/Streer Name R.O.W. Width Pavement Width Curti/Gutter Sidewalks <br /> ' Yes❑ No Yes© No <br /> Yes i7 No❑ Yes C No❑ <br /> F:DEV8E:RIID.RN/PIANAPe5/LOTLINEAOJAPPFOPI6 REV 2/1/99 —3— <br />