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<br /> APPLICATION - LOT LINE ADJUSTMENT —
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Existing or Proposed LJ w d Parcel are Fnproposed
<br /> Parcel Number Square Footage Square Footage
<br /> or Acreage or Acreage
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<br /> W e Service Provider Annex-Formation Distance to Public
<br /> Public
<br /> 6xisting� Required Water(Feet)
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<br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑
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<br /> Public Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal Required Sewer Facility
<br /> Existing
<br /> Proposed❑ ;
<br /> On-site Sewa a Existing Septic SystemX New Septic System ❑ Other [3Disposal
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<br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-
<br /> Drainage Required to: Retention Ponds
<br /> Existing ❑
<br /> Proposed a
<br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No ChangaA Other ❑
<br /> Drainage
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<br /> Service Provider Distance to Service Service Provider Distance to
<br /> Service
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<br /> Service Provider Distance to Service Service Provider Distance to
<br /> Service
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<br /> Service Provider Distance to Elem Service Provider Distance to Fire
<br /> School Station
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> 7'8dIf 4 AA D Yes❑ No 1, Yea❑ No
<br /> Yes❑ No❑ Yes❑ No❑
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sldewalka
<br /> Yes❑ No O Yes❑ No❑
<br /> Yes© No❑ Yes❑ Aro❑
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