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M II -
<br /> rAPPLICATION - LOT LINE ADJUSTMENT
<br /> i1
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> Parcel Plumber Existing or Proposed Use d Parcel Existing Proposed
<br /> Square Footage Square Footage
<br /> or Acreage or Acreage
<br /> / aAic /. 5" G
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<br /> Public Water Service Provider Annex-Formation Distance to Public
<br /> Existing❑ Required Water(Feet)
<br /> Proposed t3
<br /> Private Water Existing Well O New Well Well Replacement ❑
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<br /> NEW,
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<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal Required Sewer Facility
<br /> Existing❑
<br /> Proposed O
<br /> On-she Sew a Existing Septic System ❑ New Septic System Oilier (3Ej Disposal
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<br /> Service Provider Annex-Formation Terminal Drainage Detention-
<br /> Drainage Required to: Retention Ponds 4
<br /> Existing'O
<br /> 11 Proposed Q
<br /> �t Private Storm Onsite Retention Pond(s) Natural Drainage/No Change O Other O
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<br /> E; Road/Street Name R.O.W.Width Pavement Width Curb/(cutter Sidewalks
<br /> S a r G Yes O No Yes❑ No
<br /> Yes❑ .No-O Yes❑ No❑
<br /> I� Road/Street Name R O.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> 0 Yes 0 No 0 Yes O No❑
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<br /> Yes E3 No❑ Yes O No(3
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