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A LIG3ATION - LOT LINE -+DJUSTMENT <br /> c am; '•;y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Pro sed Use of Parcel Footage or Acreage Footage or Acreage <br /> 4 " 30 _-S Ac , i0 <br /> 2rViango 2 4 { 714 <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existin <br /> Private Waterim Existing Well New Well Well Re iacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facilit <br /> Proposed❑ <br /> Existing <br /> On-site Sewage <br /> Dis oral ExistingSe tic S tem ElNew Se tic astern 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 /> Drains a On-site Retention Pond s ❑ Natural Drainage/No Chane Other El <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> E. C, ' I- I 0h - .4C '1- <br /> School Service Fire Protection Service <br /> 1 Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> �A% V 1 r t i <br /> Existing Roads <br /> RoadfStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> PA g 0 Yes❑ Nof] Yes❑ No F] <br /> 4o, Yes❑ No KI 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 C1 Yes❑ No❑ <br /> FADEVSMPtanning Application Forms% Page 4 of 7 <br /> Lot Line AdjuWnant.dix.(Revised 6-4-04) <br />