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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> 4*' <br /> ...:: . ... <br /> :. �ITIw A4#l�'� RACES <br /> ................v �4Yfi{?i.X.. .................. .....:._::. <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing'0 Required Water (Feet) <br /> Proposed ❑ <br /> Private Water''❑ Existing Well 'ff New Well ❑ Well Replacement ❑ <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing <br /> Proposed❑ <br /> On-ske Sewage Existing Septic System New Septic System ❑ Other C <br /> Disposal❑ <br /> Stod3n E3rainage;.... <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing C, <br /> Proposed ❑ <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change' Other [3Drainage❑ <br /> Service Provider Distance to Service Service Provider Distance to <br /> } _ t Service <br /> :�<: <br /> ::•:.v::::::'.v:::::.v::::w.vi'v:v;;?.}•:.:,.:: •. :.:??•:?.}}:;?•isi}::;?v.:;n;.;S}fC;........ <br /> .... .. <br /> ......................... .•: •:>;;:>.�;;;:;;.;:.;;;;:.;>:>;:;;;.}:•;:•>;;;;:f:abte:Teteuis3 �� � ' ��� <br /> Service Provider Distance to Service Service Provider Distance to <br /> tom'PC ' _ - '!1- i L L Service <br /> / Q 4 % <br /> .............................................................. ............................................................... <br /> ...............................,:::::.:.:::::.:............. :::::.:::•.:::::::;::: :..,.:;...........................................................................:...... <br /> ...... ...., vv.vnv,:.;;: ,::w:\vv\:•n 1........... vv...,, ,.,:1•:\4;'4A ..,.:4..n......::::::....v: .. <br /> ................................,•::::.:::.::.;•;::::.;:.>.:;:;:;.. .:•::..: ...... ........... t.......:::::.;:•:.;...:;...;;.. <br /> Service Provider Distance to Bern Service Provider Distance to Fire <br /> School Station <br /> S C Lf) >� �f �t�: l/eS F SCS, L � 1J hilL >rS <br /> :........::::: ...; <br /> :......::........... ............ ....................... .. ... <br /> ::::�::: <br /> Road/Street Name R.O.W.Width Pavement Width Curb!Gutter Sidewalks <br /> 6 `�i }� T-, �, �T r i` Yes❑ No,91 Yes❑ No <br /> Yes❑ No❑ Yes❑ No❑ <br /> :::,.:...•::.::'•.4 ::.:......:::n.Si}:;•}'e}i:•;'r'L:•i.... <br /> :...: ..:..........................................................::: <br /> .......,..::}3,. :,. ....v.,•..}:•:::.};>:•}::;o-}:.;. iLlV... }v.vy:::•.......:::::.::::.::::::::o-oo:•;;.}•}}.::c:.}::•:: .....:::., <br /> Road/Street Name R.O.W.Width Pavemert Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes No Yes No <br /> -3- <br />