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f <br /> XPLICATION LOT LIN-i� ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> OPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 20.3i4 AC_ 9 _71 AC <br /> 30-37— AC, Ili 9-6?�AC, <br /> 4, <br /> ITEIMPROVEMEN"i:', _61,8E", <br /> RVICES�' <br /> A <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required I Water(Feet) <br /> Proposed M <br /> Existing ❑ <br /> =Private Water❑ Existing Well New Well ❑ Well Replacemen.t El <br /> 1. <br /> ew. <br /> agdDisposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed F-1 <br /> Existing El <br /> On-site Sewage <br /> Disposal E] Existing sti.ng Septic System New Septic System E] Other E] <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed F-1 Required to: Ponds <br /> Existing El <br /> Private <br /> Drainage n-site Retention Pond s) ❑ Natural Drainage/No Change F1 Other E] <br /> Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> pa r—_ <br /> Schoo[ ervice,. <br /> �k <br /> SP r <br /> Distance to Elern <br /> Service Provider School Service Provider Distance to Fire Station <br /> TF--Ac,Y uvv%rtsD <br /> ZXisfing'RoAdia, <br /> 'NO <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> lio— zo- Yes El No & Yes [:1 No 13 <br /> Yes E] No E] Yes E] No E] <br /> T, <br /> :,,K�, -.roposedoads <br /> :R 41" <br /> Road/Street Name R.O.W,Width Pavement Width Curb/Gutter Sidewalks <br /> Yes EI No El Yes El No El <br /> Yes El No El Yes El No F1 <br /> F:0EVSVC\P1anning Application Forrnsl Page 4 of 7 <br /> Lot Line Adjustment.doo.(Revised 64-04) <br /> r <br />