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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAOUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> tn ' a ,pFCI&, <br /> Parcel Number <br /> Existing or Proposed flee of Parcel <br /> Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> 1.92 Ac 1.44 <br /> 0.96 1. 44 <br /> Public Water Service Provider Annex Formation Distance to Public <br /> Existing❑ Required Water IFeetl <br /> Proposed C1 <br /> Private Existing Well New Well M Well Replacement ❑ <br /> SHVM✓iQ8 ai9)7Peai <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sewage Existing Septic System 01 New Septic System ($1 Other ❑ <br /> Dlsposalb <br /> Sti>riTt Orrr7gAgr <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing ❑ <br /> Proposed❑ <br /> Private Storm On-site Retention Ponds) ❑ Natural Drainage/No Change�a Other ❑ <br /> Drainage d <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> Telephone Service Cabte Televislon Service <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> P. T. T. adjacent none <br /> -:� SahooC Seivke Sfre Prolexrtlan Serval <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> L.U.S.D. 3 miles Lockeford <br /> s: Edsting Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Tecklenber 40/45 20 Yes❑ NoXI Yes❑ No 4T <br /> Yes❑ No❑ Yes❑ No❑ <br /> Ptvpoeed goads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/putter Sidewalks <br /> Yes❑ Nox Yes❑ Nox" <br /> Yes❑ No❑ Yes❑ No❑ <br /> -3- <br />