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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> POPO5E0 P ARGELS` k >. .. .. .:,. r5a a 3 ? <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> 3;""7e 8� 60 <br /> Il <br /> a/nvfs 0esr ",c 84 <br /> 4 <br /> ;SY. <br /> Y 51'T�'�MPFiOV�:M��'1•S aM�:D 5ERYiCES s�s .�;?`.#, rf f's^`R,t,k it <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ IVA Required Water(Feet) <br /> Private Water❑ Existing Well tr� New Well ❑ Well Replacement ❑ <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal❑ IVA Required Sewer Facility <br /> On-site Sew a Existing Septic System I New Septic System C3 Other ❑ <br /> Disposal; <br /> StOrth QhdlhR� 5? 3 R : #j <br /> / Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage❑ NA Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Drainage❑ <br /> ::. . ... . .E. �fagt�Tcky :;>.:: ;,,.,.., ?�:. ..�_:�` ..�Na►ural t3as.. ; �� u w�s t i. ; <br /> Service Provider Distance to Service Service Provider <br /> Distance to <br /> Service <br /> ;3 ..._.Te#ephvpaServlaa„ : '., h k' x F <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> f $chtYoT Sstvka- k #rar4,factl�sR>;erxicaya" <br /> Service Provider Distance to Elam Service Provider Distance to Fire' <br /> School Station <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> .. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes 0 No❑ Yes 0 No❑ <br />