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T LINE ADJUSTMENT-,,t. <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMLNT <br /> mp <br /> e <br /> Existing or Proposed Use ofParcel Existing 'Proposed <br /> Parcel Number Square Footage Square'Footage <br /> G{ or Acreage orAcreage <br /> �511MPROVEAI SAND sEFiNiGEs <br /> r ` z � Winter of. <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider <br /> - Required Water{Feet} <br /> Existing❑ <br /> Proposed❑ <br /> rivate War Existing Well F New Well ❑ Well Replacement El <br /> te ;'!�► - <br /> ' g �. K1 <br /> r �. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Required Sewer Facility <br /> Disposal <br /> Existing❑ <br /> Proposed❑ <br /> Existing Septic System# New Septic System ❑ Other ❑ <br /> On-site Sewage _ <br /> Disposq* <br /> r <br /> Public Storm Service Provider Annex Formation Terminal Drainage Detention- <br /> to: Retention Ponds <br /> Drainage <br /> Existing❑ ' <br /> Proposed❑ <br /> Private Storm On-site Retention Pond{s}0, : Natural Drainage/No Change ' Other ❑ <br /> Drainage . <br /> . . <br /> Distance,to - .'Service Provider Distance to <br /> Service Provider - Service ervice <br /> e <br /> •" ���'`� � ` 'Te��!�ho�e' s58rr�c�e- `� �:C'able�'�levfsla�Servlce � .,.�,:�-� <br /> fig: .., r� °- -• ;.�� ,. : ,�.;�P,.. �.-- . : , . <br /> Dice to Service Provider Distance to <br /> stan <br /> Service Provider Service <br /> ~Service` " <br /> Distane6 to'Ele+n 'T Seriiice Pro'vfder Distance to Fire <br /> Service Provider <br /> School Station <br /> 4; <br /> n , ' L"-Xfstlt� RoBGis " 65 "�a� fix• <br /> f. .,.- <br /> Road/Street Name R.O.W.Width, Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No# Yes❑ No* <br /> Yes❑ No❑ Yes❑ No❑ <br /> Road/Street Name R.O.W. Width Pavement Width Curb✓Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No 0 Yes❑ No❑ <br /> 1:41 PMPA_1.A99 Febnosq 1,1999 —3 <br />