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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> XX <br /> _ .. .::. ... PROPt #?ARCLS <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> c <br /> ZIo -(3 t�� 3 <br /> `:2-f lo.o�f /� �z/ <br /> t;� -Z I u - VA t r%'AS Tc-112 Z 3 ,-5w A 21-u 4LL <br /> . <br /> .::::::::......::.1TE.. IA#'R :: ..........:.... .__.. . _............................ ..........:......,.........:.................. <br /> .:.....: .......:. ....: vw� <br /> .:::...:.:... ...... ... <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing ❑ Required Water (Feet) <br /> Proposed❑ <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> _._ ..._ .. .. ....... .__.....__._. ........ ..................... .. <br /> .:.:, ..:..... ..:. _. . ....,.. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing❑ <br /> Proposed ❑ <br /> On-site Sewage Existing Septic System X New Septic System ❑ Other ❑ <br /> Disposal <br /> :....:..... .... :<:;: :. ::::::: :::::::::.......... ............. ..: .. <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 Change>t Other ❑ <br /> Drainage <br /> ;:.;:.;:.;:.: ...;:.;;:.;:.;:.<.::::.:...: :.::.;:...........::.......... <br /> ............... <br /> ' ;:<:::::< ::>::>:::.>:':>::>::::»::::>:::.>:::: ::.:>:::>:::.>:........3i....::::::>::::>:. .......:.I ills :1:7 8 ....... <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> ete p hane rleMC$ ;::;;•.:::.;::<;:;;>;.;::;:;;;;:;::;;::;:::;: ::;:.... y.;...,.;•.:.r: ..._........,F kVI .0..+` .[1.9 ' 's;j;i:i;`:is"?i:i::»::::::::;:. <br /> _...._:: <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> r, <br /> ' ::i:: i .......... iiJiii:: iii :^iii:::.:ii...::ryi::.::.::.:.:...i::.i:j::i::i::::::::: i:?;yiiiiiii:i<:::i::i::iiC::ti::i::i%::iiiiiiii vLi�iiiiiisisi:S:i:i ................................... <br /> :iil:::.....:ii:....:.:.:.:.::.::..::::: ::.:::isi::is:i :i:: :<:: <br /> : ;v.::a:.>;:......... >::.o-;:s»>::::> a:>:»>;;»o-:;:•::;>:::a;o-:a::o->:::::>:;;;:•:::a;;;to::•;t::c::'t::::::::::i;:>:;:::ir:i::i:;:::::::::::: .. : IC$> iifiiii::%Yii:F::i:::::i:::::i::::::i::i:::::> <br /> ::......::.::..::. $of4t79: +Via�.::::::::::::::::::::::::::::::,...........::::.:::::::...............:.....:..........:: .:.j. qsk: GN.::::::.:::::::::::::::::::::::::::::::....... <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School <br /> 'L,� Station <br /> ::....::::::::::. ::: r ::. ::::r r <br /> . ... ....: '_ .. .. ....... :. :�'7�¢'l1�Q: k;r[i. i::i i:::;:;::?: <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 1 tff ^ FAI-.) E50 Yea❑ No)!�, Yes❑ Nq, <br /> S A-6 (p(� Yes❑ No Yes❑ No <br /> ........:.;?E.. . <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> SAfv1c, AS Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -3- <br />