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PPLIGATION - LOT L. .EADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Ft <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 3,77 4--c- <br /> Z <br /> 3 Z <br /> i <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider <br /> Required Water(Feet) <br /> Proposed ❑ <br /> Existin <br /> Private Water Existing Well New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existing <br /> On-site Sew <br /> Disposal Existing Septic System New Septic S stem Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Reqwired to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity Telephone Service <br /> i Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> -S� ie47 -1 S! <br /> School'Service Fire Protection Service <br /> Distance to Elem i <br /> Service Provider School Service Provider Distance to Fire Station <br /> V,C 14Z7 rea z <br /> e s <br /> Existing Roads <br /> Road Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks i <br /> �+ z Yes❑ -No Yes❑ No <br /> Yes❑ No❑ Yes❑ No ❑ <br /> Proposed 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 /> f <br /> ,F:ZEVsvC%P1ann1ng Application Forms% Page 4 of 7 <br /> Lot Line AdjustmaWdoc.(Revised 64-04) I` <br />