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o�QUIM. PLICATION -- LOT LSEADJUSTMENT �. <br /> ter= i` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> I FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Pro osed Use of Parcel Foota a or Acreage Footage or Acreage <br /> A LMajj4 c d Popo W R 02T,4 Cf`�.AL r �C a2 ^A Cdl r <br /> C 6 . ACAkr <br /> f SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existing❑ <br /> =Private Water. Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facilit <br /> Proposed❑ <br /> Existing❑ <br /> ff <br /> ite Sewa e <br /> s osal ExistingSeptic System New Se tic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage On-site Retention Ponds ❑ Natural Drainage/No Change Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> QIV--S�� Z (/ Lj 1 A <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> /y.�L ,�Service Provider School Service Provider Distance to Fire Station <br /> K .SCffLdG Mme, klpaAjZ� •- <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes ❑ No❑ Yes❑ No❑ <br /> FADEVSMPlanning Application Forms, Page 4 of 7 <br /> Lot Line Adjustmenl.doc.(Revised 05-11-09) <br />