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II <br /> i . <br /> APPLICATION LOT LINE ADJUSTMENT <br /> z' ;x SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: - - - <br /> f� �PROPO�ELJPARCErS' � 3 , �,. <br /> q Existing 6gtrare Proposed <br /> Parcel Number Existing <br /> . or Proposed Use of-Parcel Acreage Acrea"e <br /> lg-o.4 A use ��.23 •4 i#. <br /> -t•` to t> 1$- 411At, E. .'4 <br /> c� 9 ti tJ �• - <br /> �� 19_ 1 9 0 1 5S1 ,1 <br /> 'SITtSAA#IU$ERVi7Ea• :. '•g <br /> jAiY..-�Y.. F <br /> i Public Water Service Provider Annex-Formation Distance to Public <br /> Required Water Feet <br /> Proposed❑ <br /> t + Existln P r:ve. t <br /> � I <br /> j Private Water Existiug Well El New Well Well Replacement <br /> X15 <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re abed Sewer Facility <br /> Proposed❑ n C <br /> ExiSiln T i <br /> On-site Sawa e <br /> Disposal Existing Se tic System ❑ New Se he System 0 Other El <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retentlon <br /> Proposed Required to: Ponds <br /> Existing <br /> I. <br /> Private Storm <br /> Drama On-site Retention Ponds !Natural Drains elNo Chane Other ❑ <br /> l [� ::t?IoCfslt<ityr.- TIBpbhA' B}ViCe <: <br /> r. <br /> t Distance to <br /> Service Provider service Se ice Provider Distance to Service <br /> 5Ch9ol:Wrvlce• i~ire ProYCo1 errifCe <br /> Distance to Eiem <br /> 1 Service Provider School Service Provider Distance to Fire Station <br /> .l <br /> o'Zr+.t teS t,Ja� r:� t tete, <br /> F <br /> .X IVORoa s �. <br /> 'l <br /> Road/Street!Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> kALtd q!� Yes❑ No(A Yes❑ No <br /> .3 r Yes❑ NoID Yes❑ No <br /> t <br /> Pro sed.R6at1 . <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑' No❑ <br /> Yes ❑ No ElYes❑ Nc ❑ <br /> 'i <br /> Ali F:M[vsvC\PlanningApplication Forms! Page 4 of 7 <br /> } i Lot Lae Ad}usiment.doc.(Revised G-4.04) - <br /> i <br /> dAfsvl S S S 5 cit <br /> � Qui <br /> I' <br />