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APPLICATION - LOT LI ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <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 Acrea e <br /> ZFi S irve. Zvi 3 5. z <br /> Zpro P 05 e s Z , 5 <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-f=ormation Distance to Public <br /> Public WelAr, Service Provider Required Water Feet <br /> Proposed. <br /> Existing. <br /> Private Water _..Existinq Well Now Well Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> E)dsfin2 12 <br /> On-site Sewage <br /> Disposal ExistingSe tic System New Septic 5 tem 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 /> Draina a On-site Retention Pond s Natural Drainage/No Chane Other <br /> Electricity. Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to ervice <br /> School Service Fire Protection Service <br /> Distance to Elam <br /> Service Provider School Service Provider Distance to Fire Station <br /> O <br /> 'F(� 2 Wt 16 S U Uf'fJ VYI s P✓S <br /> Existing Roads <br /> Eoad/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Z d f 2 r 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:0EvsvCP1amhV Application Formal Page 4 of 7 <br /> Lot Una AdiusUrpm dor.(RevW 6.4.84) <br /> r <br />