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APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT vim MOR Parcel Number Existing or Proposed Use olf Parcel Existing Proposed Square Footage Square Footage or Acreage or Acreage VINE,Y4951 15. 6 If 7 ,2 eq F-f ..... ........... M ......................... 101 0 WNW -1:,�X 10,M . 1-,..,, ... 4— Public Water Service Provider Annex-Formation Distance to Public Existing 0 Required Water(Feat) Proposed 0 Private Wate')k Existing Well New Well 0 Well Replacement C3 Public Sewage Service Provider Annex-Formation Distance to Public Disposal Required Sewer Facility Existing[I Proposed 0 On-site SmExisting Septic System New Septic System 0 Other 0 Dlsposal7 ........ ........... .... . ...... . ........*Mw 11 M ......... Public Storm Service Provider Annex-Formation Terminal Drainage Detention- Drainage Required to: Retention Ponds Existing 0 Proposed 0 Private Storm On-site Retention Pond(s) 0 Natural Drainage/No Change Other 0 Drainage 0 .. ............ MO xc:R ........ -M Service Provider Distance to Service Service Provider Distance to Service Ae is W., n- a Service Provider Distance to Service Service Provider Distance to I sew" IV114- ............................ v, a3>@"a3>@" M .......... Service Provider Distance to Elem Service Provider Distance to Fire School Station as M Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes 0 No Yes 0 No 04 1 Yes O NoO Yes 0 No 0 .... ........ ......... Road/Street Name R.O.W.Width PIV'Imlt Wkftix Clrb/G'M" Sidewalks Yoe 0 No 0 Yes O NoO Yes 0 NoO Yes 13 No 0 .3-