Laserfiche WebLink
(., 'PLICATION - LOT LhvE ADJUSTMENT <br /> Z SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> P FILE NUMBER: <br /> PROPOSED PARCELS <br /> Parcel Number Existing Square Proposed Square <br /> Existin or Pro EU�secel Foota a or Acrea a Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public WaterService Provider Annex-Formatlon Distance to Public Proposed ❑ Re uired Water Feet <br /> Existin ❑ <br /> Private Water C9 Existing Well 0 New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage <br /> Annex-Formation Distance to Public <br /> Disposal Service Provider <br /> Proposed F-1Required Sewer Facili <br /> Existin ❑ <br /> On-site Sewage <br /> Dis oral Existing Septic System New Septic 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 Chane ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> ServiceProvider Service Service Provider Distance to Service <br /> l �a`,,-�-o�_ , <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> t ' Yes❑ No 91 Yes ❑ Nom <br /> Yes ❑ No❑ Yes❑ No ❑ <br /> Pro osed 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 /> F QEVSVCN lanning Application Forrns\ Page 4 of 7 <br /> Lot Line Adjustment.doc(Revised 6-3-03) <br />