Laserfiche WebLink
PQ � AePLICATION -- LOT LINE AD <br /> �¢ -... JusTMENT <br /> A A SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> i <br /> Parcel NumberExisting Square Proposed Square <br /> or of Parcel F or Foo or A <br /> 74 e_ <br /> a r e <br /> 1, 5 Ac- A<-- <br /> Z5 A Z5A <br /> inti s�ttt _ <br /> Public Water Annex-Formation i. Distance to Public <br /> Service Provider Proposed ElRe uired Water Feet <br /> Existi <br /> Pri►fs Water ' WeB'W New Wet! <br /> Well RejAacemerit ❑ <br /> Public Sewage Annex-Formation I Distance to Public <br /> Disposal Service Provider Required j Sewer Facility <br /> Proposed <br /> Exisfi <br /> On-site Sewa e <br /> her ❑ <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage❑ On-site Retention Ponds Natural o CharMeOther 0 <br /> Eity T : <br /> Distance to <br /> Service Provider Service Service Provider Distance to S rvice <br /> n -- ATt T -1 s/ <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> RoadfStreet Name R.O.W.Width Pavenwd Width CurwGutter Skkwalks <br /> Grove— &Q D E Yes❑ Nq Yes ElNojo <br /> Yes❑ No❑ Yes El ❑ <br /> i <br /> Roa&Street Name R_O.W.1/ kkh Pavement W-,dth Curb/Gutter Sidewalks <br /> Yes ElNo[IYes ElNo❑ <br /> Yes El No Q Yes❑ No[3 <br /> F:V3EVSVCWiannin9 Application Forms% Page 4 of 7 <br /> Lot Line Adiustment.doc.(Revised 05-11-09) <br /> I <br /> i <br />