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A <br /> U1N. fk*�PLICATION - LOT L14 ADJUSTMENTr�� ,3 <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> < <br /> FILE NUMBER: <br /> - � .P�2QPOSE[)PARCELS <br />' Ewsting Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1- o <br /> _41 C6"c- i l'1 51 t,5l , oq <br /> 1MROVEIIiIFNITS`r�► SEt�VES ; <br /> r <br /> Annex-Formation Distance to Public ` <br /> Public Water Service Provider <br /> Proposed F1 Required Water Feet <br />� <br /> Exis ing❑ <br /> Private Waterx Existing Well . New Well [❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facilit <br /> Proposed ❑ <br /> Existing❑ <br /> On-site Sewage <br /> &is osal Existing Septic System New Septic System ❑ Other ❑ <br /> Stasi Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> 5�L <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service ProviderSchool Service Provider Distance to Fire Station <br /> f�RA,r.�cCo� � .S ,r+•.:1�5 iMotn�•tZutrv�� ;b • `l.S +n►. 1-e S <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No® Yes❑ No <br /> Yes❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width CurblGutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:V)EVSVOPlanning Application Forms\ Page 4 of 7 <br /> Lot Line Adjm;tment.doc.(Revised 6-3-03) <br />