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1 <br /> — R <br /> R. <br /> APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ` <br />! Parcel Number <br /> Exlsting or Proposed Use d Psrosl Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> 1 HOUSE, MOBILE HOME, BARN, GARAGE 7. 24 AC. 8.43 AC. ' <br /> 2 HOME SITE <br /> 5. 7 AC. <br /> 3 HOME SITE AND FIELD CROPS 22.25 AC. 5. 7 C. <br /> f <br /> Ift <br /> Public Water SerAce Provider Annex-Formation Distance to Public <br /> Existing❑ <br /> Proposed[3 Required Water(Feet) <br /> Private Water■ Existing Well ■ New Well O Well Replacement p <br /> �. <br /> xx <br /> s::h..:...... <br /> ..:.....:........ ...........:.:.. <br /> Public Sewage Servke Provider Annex-Formation Distance to Public <br /> Disposal <br /> Existing p Required Sewer Facility <br /> Proposed 0 <br /> On-site Sewage Existing Septic System ■ New Septic System O Other p <br /> Disposal■ <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Deterrtiorr <br /> Existing <br /> Drainage . Required to: Retention Ponds <br /> Existing❑ <br /> Proposed p <br /> Private Storm On-she Retention Pond(s) p Natural Drainags,INo Change ■ Other C3Drainage■ <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> P.G.& E. AT SITE NONE <br /> i <br /> Service Provider Distance to Service Service Provider .v,• Distance to::. <br /> Service <br /> PACIFIC BELL AT SITE NONE <br /> :k <br /> Service Provider Distance to dem Service Provide[ Distance to Fire <br /> School Station <br /> If DELTA ISLAND 10 MI. UNPROTECTED <br /> ,i ' '�'? it '::l .s:•g: <br />' ;n':;.'{✓,}�.:. Of.�,x.:45;;.•• •' <br /> Road/Street Name R.O.W.Width Pavement Width Curwoutter' ____Sidewalks <br /> �- --y - "ROBERTS--ROD- - 6 0 r 24 ' Yee O No■ Yes O No■ <br /> l <br /> Yes O No p Yea❑ No C3 <br /> Road/Street Name RO.W.Wkittr Pavement Wim Curb/Gutter Sidewalks <br /> NONE PROPOSED <br /> Yes O No p Yes 0 No p <br /> Yes 0 No p Ya p No 0 <br /> .3- <br />