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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 ExJstino or Pro osed Use of Parcel Foota a or Acrea a Foota a or Acrea e <br /> O. A c <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Annex-Formation Distanceto Public <br /> Service Provider Required Water Feet <br /> Proposed❑ <br /> Exiuling <br /> Private Water E)dstlna Well New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Ann don Distance to Public <br /> Disposal Service Provider Ra uired Sewer Facility <br /> Proposed❑ <br /> Ex sdn <br /> _q 171 <br /> On-site Sawa e <br /> Dis osal E)dsdng Septic S stem New Septic System ❑ Other ❑ <br /> Stone Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Re uired to: Ponds <br /> E)dsdng❑ <br /> Private Sty <br /> Drainage On-site Retention Ponds Natural Dmina a/No Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider I Service Service Provider Distance to Serv' e <br /> � ^ $/ <br /> School Service Fire Protection Service <br /> Distance to Elam <br /> Service ProviderSchool Service Provider Distance to Fire Station <br /> ExistIna Roads <br /> Road/Street Name R.O.W.Width Pavement WidthCurb/Gutter Sidewalks <br /> 1,7,0e-2 61 4r4 Yes❑ No Yes❑ No <br /> Yes❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Wldth Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F.1DEVSVC1PleMin9 AGDliraLlon F in+ut Page 4 of 7 <br /> Lot Una Adjusin ent.d=.(Revised 05-11.09) <br />