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APPLICATION`:- LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT PRO.0SED.:PARCE1LS,. Parcel Number x' Existing or:Proposed Use of Parcel Existing, = :'':Proposed . Square Footage ,. Square Footage or or Acreage Acrea e (:?s� «.. n :;.....,.-. • ..f:.:..t .:...:..-. xis .SITE IMPROVEMENISANDSERVrGEB :>:v `..... X. Wafer F.. Public Water Service Provider Annex-Formation Distance to Public Existing Required Water Feet Proposed❑ � 4e !s e9& siyle— Private Water❑ Exisdm Wel? ❑ New Well ❑ Well R iacement ❑ :• .,:c �} .,.:. :::::r!}:..n N:•:: `.p}t'+r]e1Ka t#��t Sdi• Public Sewage Service Provider Annex-Formation Distance to Public Disposal Required Sewer Facility Existing Propose. + G�s� e On-site Sewage Existing Septic System ❑ New Septic System 0 Other ❑ E Disoosal❑ :..:StiinRi.D�aina':e Public Storm Service Provider Annex-Formation Terminal Drainage Detention- Drainage Required to. Retention Ponds Existing Propos Q Private Storm On-site Retention Pond(s) O Natural Drainage/No Change 0 Other Cl Drainage❑ :Electric ;:: Naturat.Gas .. Service Provider Distance to Service Service Provider Distance to Service �• e. Cable7elevtstori':Secvtcc Service Provider ' Distance to Service Sery ce Provider Distance to Service r e � � / L � Scltool Service: <:. .... .:: :Etre Protection Servrce ;`. Service Provider Distance to Elem Service Provider Distance to Fire //�//♦_ / /y/] School P� Station ' / `// /V /' 1 F e— Eztstiri .Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes No 0 Yes No❑ YeIX No❑ Yesy No❑ <... :Pro sed.Roads. / r• t. Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ -3-