Laserfiche WebLink
f ` G � <br /> _ -'PLICATION LOT LSE <br /> ,Q. co ADJUSTMENT <br /> y ., SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT- <br /> FILE NUMBER: <br /> 72 <br /> 77 <br /> ` ,PROiP,.�SED PARCEL$ <br /> Parcel Number Existing Square Proposed Square <br /> Existin or Pro ased Use of Parcel Footage or Acrea a ElFoota a or Acreage <br /> r,�P, s _ <br /> y SITE�MPROVMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Proposed❑ Required Water Feet <br /> Existing [] <br /> E <br /> Private Water Existin Well [ New Well ❑ Well Re facement ❑ <br /> Sewage Disposal <br /> Public Sewage <br /> Disposal Service Provider Annex-Formation Distance to Public Proposed F] Required Sewer Facili <br /> Existing❑ <br /> On-site Sewa <br /> Disposal Existing Septic System New Septic 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 /> Draina e On-site Retention Ponds ❑ Natural Drainage/No Change Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> rr Service Providert 7 School c Service Provider Distance to Fire Station <br /> -Existina Roads <br /> Road/Street Name R.O.W-Width Pavement Width Curb/Gutter Sidewalks <br /> � 9 . i i= _ Yes ❑ No Yes ❑ No � <br /> Yes❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> i' Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ Na ❑ Yes❑ No ❑ <br /> Yes ❑ No ❑ Yes❑ No ❑ <br /> FADEVSVC\Planning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment.doc (Revised 6-3-03) <br />