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<br /> APPLICATION - LOT LINE ADJUSTMENTSAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Parcel Number
<br /> Existing or Proposed Usa of Parcel ��� "'�
<br /> Existing Pro used
<br /> Square e Foote p
<br /> 9 Square Footage
<br /> or Acreage or Acreage
<br /> Home Site
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<br /> Reminder A . Use y
<br /> 77.89 Ac+ 70.60 Ac+
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<br /> Public Water© Service Provider Annex-Formation Distance to Public'
<br /> Re wired
<br /> q Water(Feet)
<br /> Private Water Existing Well KI
<br /> New Well ❑ Well Replacement ❑
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<br /> Dleposal❑ Sarvica Provider Annex-Formation Distance to Public
<br /> Required Sewer Facility
<br /> On-site Sewage Existing Septra stem
<br /> Disposal KI q =1111-1
<br /> Now Septic System ❑ Other ❑
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<br /> Public Storm '
<br /> Service Provider Annex-Formation Terminal i}raine
<br /> Drainage❑ age Detention.
<br /> Raquirad to:
<br /> Retention Ponds
<br /> Private Storm On-site Retention Pond
<br /> Drainage a �s} 13
<br /> Natural Drainage/No Change ,X; Other 13
<br /> Service Provider
<br /> Distance to Service Service Provider
<br />� Distance to
<br /> Service
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<br /> Service Provider Distance to Service
<br /> Service Provider Dista
<br /> .;nL.ce to
<br /> Pacific Bellservice
<br /> 500' + None
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<br /> Service Provider '. ;::::::..:::-A:{k.Y•;:6;at;:r::?r
<br /> OkrtancO to Elem Service Provider
<br /> School Distance to Fire
<br /> Dent School Statlon
<br /> igglilly +
<br /> i 1 es
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<br /> Road/Sireet Name ..... ... . s:;#�:�:�>:�>::.>:;::.:•::::.,>,::.
<br /> ROW Width Pavement Width Curb/Cutter
<br /> Stein ul Road sidewalks
<br /> 24' Yea 0( No❑ Yes❑ No's[
<br /> Yee p No❑ Yes 0 No E3
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<br /> Road/Street Name R.O.W.Width ... r;`
<br /> Pavement Width Curb/Gutter Sidewalks
<br /> None N/A N/A
<br /> Yea 0 No M( Yes❑ No OX
<br /> Yes❑ No❑ Yes 0 No❑
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