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u <br /> LOT LINE ADJUSTMENT <br /> r SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT F <br /> a <br /> 7ZI <br /> l Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage or <br /> or Acreage Acreage <br /> / <br /> A! <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water(Feet' I <br /> Proposed O <br /> Private Water O Existing Well 0 New Well 0 Well Replacement ❑ <br /> ftx <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing O <br /> Proposed O i <br /> /1/0A �.' <br /> i <br /> On-site Sewage Existing Septic System O New Septic System O Other 0 <br /> Disposal 0 <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to; Retention Ponds <br /> l Existing 0 <br /> Proposed O <br /> I <br /> Private Storm On-site Retention Pondi Q Natural Drainage/Na Change O Other O <br /> Drainage❑ <br /> Service Provider Distance to.Service Service Provider Distance to Service <br /> i <br /> iii"p r' kin. <br /> Service Provider Distance to Service Service Provider Distance to Service` <br /> A14V <br /> RF <br /> Service Provider Distance to Fire <br /> 7777M <br /> Station <br /> '---. - <br /> Pavement Widahh . <br /> CurWGutter <br /> Sidewalks <br /> W Width <br /> Road/Stre <br /> et Hama' <br /> R.O. .kVi <br /> Yes 0 No Yes O No If <br /> V6`14 9 Yes D No Yes L7Nod�C <br /> Road/Street Name R.O.W.Width ' Pavement Width Curw/Gutter Sidewalks <br /> Yes❑ No❑ Yes O No O <br /> Yes❑ No O Yes D No O <br /> I <br /> twos MIPAJAN FebriM j j9m . <br /> —3— <br /> i <br />