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T LINE ADJUSTMENTr, <br /> SAN JOA IN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT , <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> •V�� �Si E L PlavROscy,> or acreage or Acreage <br /> t l t _+ <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing$r Required Water(Feet) <br /> Proposed❑ <br /> Private Water L) Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> 2 <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing <br /> Proposed❑ <br /> �T S trr.1 �evJ+Ra t�� <br /> On-site Sewage Existing Septic System L7 New Septic System C7 Other ❑ <br /> Disposal L7 <br /> n <br /> 3z�...., --� ,..., d 3-sz ,�� -:.- a. e. •.'gym.._.sit;-= ,ear. .. _t>e.e,e;.. ..:...f,.._.. �.,, - <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing <br /> Proposed❑ <br /> CATS( b r S�C�T4N <br /> Private Storm On-site Retention Ponds)❑ Natural Drainage/No Change L7 Other ❑ <br /> Drainage❑ <br /> m41,",3s 8 iFa_�r. .s, y ad,; ..&p .. <br /> 141 _� ... <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> M. <br /> .u" ,ci •g - yyyy s j tt <br /> .Py ,'•6 c fe '-"�FAR E i.T.=. <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> 4 <br /> e <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> �a-fi4�p (� ��� � � Yes❑ No� Yes❑ No�' <br /> Yes C7 No O_ �YesJa_ _No©�-_ <br /> `�m ,�'6 I✓>.,. Na�.,a{e8"°aexb.,',.-.... »�1a4"ia3P <br /> Ana'p� , <br /> �' 8 <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:DEVSER/IDARK/PLANAPPS/LOTLINE J'APPFORM REV 2/1/99 —3— <br />