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C) SCALD <br /> ' APPLICATION - LOT LINE ADJUSTMENT <br /> �' f,-r�•—:, �G� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existingor Pro used Use of Parcel Foota a or Acrea a Foota a or Acrea e <br /> ! NuL+-Tr Or os. I �'1- �3-t.3 +1 <br /> 2 ��e5td��nc2. L( . a +1 a.o } <br /> PX <br /> SITE IMPF AVEMENTSAI ID SERVI ES <br /> . Vlfater . <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Re uired Water Feet <br /> Proposed ❑ <br /> Existin ❑ <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> SevvageRisposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existing❑ <br /> On-site Sew a e <br /> Diseosal Existing Se tic L stem New Septic System ❑ Other [3 <br /> Storm;Dradnage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation mation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage' On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ <br /> t=lectrict y 7elephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> 6-7 E7 <br /> n- Side_ �riZcar, <br /> School Service Fire Protection Service <br /> Service Provider Distance to ElemSchool Service Provider Distance to Fire Station <br /> ppn L1 Ki Ci ed 5 Oobl <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> a ' Yes❑ No'X Yes❑ No <br /> Yes❑ No❑ Yes❑ No❑ <br />'l <br /> Pro osd Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> IM o,(\4e, Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:IDEVSM131anning Application Formsl Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br />