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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROP'09EQ,<PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> zgxic, %3, 2/f <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water Existing Well New Well Well Replacement ❑ <br /> Sewage i)isposul <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ Required Sewer Facility <br /> On-site Sew a a Existing Septic System New Septic System Other ❑ <br /> Disposal <br /> Storm Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage❑ <br /> >»tectrtcty Natural Gaa <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> Te�ephona 8ervica .:Gable T4)evislon:seryice <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> ac- ,fie// Dry <br /> 51 6�- <br /> <:. : <br /> ..,. :: <br /> ;<>:'>;;;:::::::::.;;>:IFtrs 2aratc innerYfce...: <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> 1 School Station <br /> 17,7 177 <br /> f»xlatftly;Loads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 2 El21"_I Yes No Yes ❑ No Ef/ <br /> Yes❑ No❑ Yes❑ No❑ <br /> :::..:..::: .. ..::...... <br /> ;< ;:::::.; .Prtsposed::Arvada <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No 0 Yes 0 No❑ <br />