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fi <br /> U`" APPLICATION - LOT LINE ADJUSTMENT <br /> �• �o�` <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :< <br /> FILE NUMBER: <br /> QtfFORs'• <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number EAsting or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> Dart- Q4e,t117 Z. 4-q _2. S <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider <br /> Proposed ElRe ujred Water Feet <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 /> Existin ❑ <br /> Onsite Sewage <br /> Disposal E)dsfing Septi c.System N,_� New Se c 5 stem ❑ Other ❑ <br /> Storni Drainage. <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation "Germinal Drainage Detention-Retention <br /> Proposed❑ Required C to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage On-site Retention Pond s ❑ Natural Drains e1No Chan a [�}� Other ❑ <br /> Electricity Telephone:Service' <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> School Service. <br /> Fire Protection Service <br /> Distance to Elem <br /> Service Provider S!4001 Service Provider Distance to Fire Station <br /> s-ODi .r.1iVia> 5.DZ•a viJary�prt•6L. P ' �• <br /> r%,,,; M24; <br /> Existiog 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 Curb/Gutter Sidewalks <br /> 4r.( Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F-%DEVSVC{?tannEng Application Formsl Page 4 of 7 <br /> Lot Line Adjustment-doc.(Revised 05-11-08) <br />