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q°P4t•Fd APPLICATION - LOT LINE ADJUSTMENT <br /> ? SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Parcel Number Existing Square Proposed Square <br /> Existin or Proposed Use of Parcel Foots a or Acres a Foots a or Acrea e <br /> I L.Aj I''r 27. 10.0.0 kG <br /> Z. •�51'Dc,u WALKV �� to -Do <br /> r_A.)uTS 1 - S '7•L!Z G <br /> S .9-Z S Z <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public WaterAnnex-Formation Distance to Public <br /> Proposed Service Provider Re uired Water Feet <br /> Existin ��-,,fr <br /> Private Water Cd Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage <br /> Annex-Formation Distance to Public <br /> Disposal Service Provider <br /> Proposed❑ Re wired Sewer Facility <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal 54 Existing Septic S stem [9 New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Re uired to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage JK on-site Retention Ponds Natural Drainage/No ChaneOther ❑ <br /> Electricity Telephone Service _D4 <br /> Distance to <br /> Service Provider I Service Service Provider Distance to Service <br /> P L 0.0 c-t-45�_ A t fr` T nv e. t r r= <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> LL.AjDeQ I I MIL.- <br /> Exists Roads <br /> Road/StreetName R.O.W.Width I Pavement±dth Curb/Gutter Sidewalks <br /> (2 tt)AT'E p o&'05 � -( 2/ ZD xI Yes❑ No XL Yes❑ No <br /> ZOr 3d O- ( � 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 0EVSVC\PIanning Application Forms\ Page 4 of 7 <br /> Lot Line Adlustmwtdoc.(Revised 05-11-08) <br />