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T LINE ADJUSTMENT <br /> SAN JOAQUI N COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> i Square Footage Square Footage <br /> or Acreage or Acreage <br /> k A /o 4k- IS15 <br /> 2. sd O c_ <br /> ..1r "� # t S�a#.�t»Br~fi b,d', � :.3 f �.�, •9�_ . .`�-.i`�1-� ��� ..[ :s�v 3"�t .I <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water(Feet) <br /> I <br /> Proposed❑ <br /> Private Wate Existing Well ❑ New Well Well Replacement El <br /> ig{ ? <br /> eWBgeDISpG58I � <br /> 4 " <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sea e Existing Septic System ❑ New Septic System, Other ❑ <br /> Disposal �p <br /> I ' '1,'" v 3".•r a�J� L f '1,�.et� '�1!�ins i1 1k'n1E� '$ ` +-t t _A �- - <br /> 11 S o lirafrra a -- <br /> i Y�� ,• ai '�5tif'r�+�' ._ <br /> a ti <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 Pond(s) ❑ Natural Drainage/No Chang Other ❑ <br /> I� Drainage❑ <br /> =M� i a <br /> Service Provider Distance to Service Provider Distance to <br /> I Service Service <br /> r , <br /> r- 0_i <br /> ,t. ��_�fn`�a'i e >°�@le pn�5�{C@ � 1a �.+ ��p `+F��✓ ��,��:. ,� he t��.,C`able:Teievlslon ServlGel�'� <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> i <br /> { w :` J1 a1 Sri * .ar � .cs:� <br /> fie;i 1`rLtr k 4> �S� o, 3@rkC@ �F�6jre Arotectlol S@rvfclr� r f�. § 1: i <br /> ,_tt,� .. •r tar 4..tv - n��,4 ei'1h_-'',r n,- .°T;• A ..Ya #._ .r. a <br /> i <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> ole Oki <br /> ;pry <br /> +' r + " 10 W, __-Yfca». 5_ �w. i3g <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> WaV 5 f Yes❑ No Yes C1 No 16 V4 Gro <br /> _ """ -Yo-s-0—No❑ --"Yes❑ No❑ <br /> :N- i <br /> ` � 1.. �I PK�X, 0 <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> W, <br /> 1:4t PMPA LADE February 1,1099 <br />