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								        							APPLICATION  -  LOT LINE ADJUSTMENT
<br /> 								SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br />       														or Acreage    	or Acreage
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<br />    		Public Water				Service Provider       			Annex-Formation     Distance to Public
<br />     		Existing❑       										Required     	Water(Fest)
<br />    		Proposed❑
<br />  		Private Water p       	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 w
<br />     		Existing❑
<br />    		Proposed❑
<br />  		On-site Sewage		Existing Septic System  New Septic System ❑       Other ❑
<br />    		Disposal❑
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<br />   		Public Storm     		Service Provider   		Annex-Formation     Terminal Drainage 	Detention-
<br />     		Drainage       							Required  		to:      	Retention Ponds
<br />     		Existing❑
<br />    		Proposed❑
<br />   		Private Storrs 		On-site Retention Pond(s) ❑   	Natural Drainage/No Change      Other ❑
<br />    		Drainage❑
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<br />   			Road/Street Name    		R.O.W.Width	Pavement Width 	Curb/Gutter    	Sidewalks
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