Laserfiche WebLink
a <br /> � .fN ' f .?PLICATION - LOT L1Q2 ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ° FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or PrqposeUse of Parcel 1 Footage or Acreage Footage or Acreage <br /> / r o © e s/ e. 3 U <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed P ❑ <br /> Existin ❑ <br /> Private Water Existing Well YL New Well Well Re lacement ❑ <br /> Sewage Disposals <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existing <br /> On-site Se a e <br /> Dis osal 145,, Existing Se tic S stem New Se tic System Other ❑ <br /> Storm 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 Draina e1No Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Se ice <br /> / / <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Existing Roads <br /> oad! treet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No Yes❑ No <br /> 11 Yes❑ No❑ Yes❑ No ❑ <br /> 3 <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Cutter Sidewalks <br /> Yes❑ No❑ Yes ❑ No ❑ <br /> Yes❑ No❑ Yes❑ No ❑ <br /> F-.TEvsvclP1ann1ng Appllcatlon Forms\ Page 4 of 7 <br /> Wt Line Adjustment.doo.(Revised 6-4-04) <br />