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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Y ih- A F1JMM w{ + <br /> itII <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage or <br /> or Acreage Acreage <br /> ao A 2? 5, 7 <br /> E �` 'k' a F s - & r a• 1 �' '�n`s �arc Hfi n � zt my der Y<x ,;I i <br /> Bit- <br /> Public <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing 0 Required Water(Feet) <br /> Proposed 0 IJ <br /> Private Water Existing Well New Well O Well Replacement 0 <br /> Public Sewage Service Provider Annex-Formation Distance to public <br /> Disposal Required Sewer Facility <br /> Existing 0 <br /> Proposed❑ <br /> On,s a Sewa e Existing Septic System New Septic System 0 Other 0 <br /> Disposal? <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed O ` <br /> Prtvate Storm On-site Retention Ponds)0 Natural Dralnage/No Change( Other O 1 <br /> Drainage 0 <br /> r9 <br /> L91 <br /> w i , <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> 1 <br /> �� ! e . <br /> - <br /> Y ` <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> /3&// <br /> S`i 2 <br /> P. <br /> I <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> X_Ipa Le <br /> Roa&Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Ali <br /> 1 r Yes❑ No Yes D No <br /> a Yes❑ No 0 Yes❑ No 0 <br /> so 00 : <br /> Road/Street Name R.O.W W1dth Pavement Width Curb✓tautter Sidewalks <br /> Yes❑ No 0 Yes 0 No❑ <br /> Yes 0 No 0 Yes 0 No 0 <br /> 10-oa AMP+L+Y9Fwnwn i,1 ON <br /> -3- <br />