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til Il APPLICATION - LOT LINE ADJUSTMENT €! SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT P I; <...PROP05EO:PARCEL$,. E Parcel Number Existing or Pr�posed Use of Parcel E ^ a Existing q Propose ��S rI. rill.,✓ Square Footage Square Footage or or Acrea e ,i i D•� , -r �•,� Aerta e Ab3 VfT`- �- �Z3' G &L b7` liAcA&rrr , i SITE.iMPROYIEMENTS:aND:SRVIC>;S>:' ij I� Water i! Public Water Service Provider Existing Q Annex-Formation Distance to Public EI Proposed Q R uired Water Feet Private Water Existing Well ❑ New Well q Well Relacement Q p Sewa a Isg2i4f, Public Sewage Disposal Service Provider Annex-Formation Distance to Public Existing❑ Required Sewer Facility Proposed Q �l On-site Se%xa Disposal Existing Septic System O New Septic System ❑ Other ❑ s; Storrti'.Dratna'e Public Storm Service Provider AnnexI � ation Terminal rain orme Detention- Existing❑ Required to: Retention Ponds Proposed❑ �I it :E itPrivate Storm On-site Retention Pond(s)s !, Draina e'❑ l Q Natural DrainagoMo,Change Other Q . u Elea ici 7 M.1 Natural Gas: `I!� Service Provider Distanct to Service ce to S Service Provider Distanervice Tele hone:Servtcer Calsfe Telei ision Setvtce.. Service Provider I Distance to Service Service Provider Distance to Service ! z St hoof Service. Fire Protection Service �I Service Provider Distance to Elem Service Provider E' Distance to Fire School Station i ;i I ` Existin 'Roads Road/Street Name R.O.W.Wi�Jth Pavement Width Q r CurblGutter Sidewalks t� �� 3 Yes❑ NOK Yes i7 N� `I Yes❑ No❑ Yes❑ No❑ II Pro used Roads Road/Street Name E R.O.W.Width Pavement Width CurblGutter `" i Sidewalks ,I E Yes Q No Q Yes❑ No❑ k Yes Q No❑ Yes 4 No❑ i i A -3-