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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> [[PORN <br /> PROPOSED PARCELS <br /> Parcel Number Existing Square Proposed Square <br /> Exists or Pro Use of Parcel Foote a or Acrea a Foote or Acrea e <br /> 2 <br /> / O r 4- 7, + <br /> SITE IMPROVEIIAENTSAN SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Proposed ❑ Required Water Feet <br /> Existin <br /> Private Water Existin � New Well <br /> ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider <br /> Proposed ❑ Re uired Sewer Facilit <br /> Existin <br /> On-site Sawa e <br /> Dis osal Existin q-,*;-S stem <br /> New Se tic S stem ❑ Other ❑ <br /> Public Storm Storm Drainage <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Re uired <br /> Existing❑ tO- Ponds <br /> Private Stor <br /> Draina a On-site Retention Pond s ❑ Natural Draina a/No Chan e <br /> Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service <br /> _ Service Provider Distance to Service <br /> School Service S/ <br /> Fire Protection Service <br /> Service Provider Distance to Elem <br /> School Service Provider Distance to Fire Station <br /> vin . <br /> Exists Roads <br /> Road/Street Name W <br /> R.O. . Width Pavement Width <br /> r Curb/Gutter Sidewalks <br /> rr� / <br /> Yes❑ No,�. Yes❑ No <br /> c ! c T <br /> z � Yes❑ No Yes❑ Nom- <br /> Pro osed Roads <br /> Road/Street Name R.O.W.Width Pavement Width <br /> Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:TDEVSVCIPIanning Application Formsl Page 4 of 7 <br /> Lot Line Adlustrnwt.doc.(Revised 05511-09) <br />