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OApUIN, C 4L�F0 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: F:\DEVSVC\Planning Application Forms\ Page 4 of 7 Lot Line Adjustment.doc. (Revised 05-11-09) PROPOSED PARCELS IIExisting Parcel Number Existing or Proposed Use of Parcel Square Footage or Acreage Proposed Square Footage or Acreage L-0 7— /S Ext s+V.�A AQP t LJ -e II I -or 10) u®c-. . ZlC? .4'c r,0. A';!'l usq AX .✓' i F AL . 12eSrd�.,-�rQ,� us L(. _ 4sl A441p2 Ra44eA "3' Ex�s-�;• Qesrv,-�,4( ��o�.1Se. 1 dSv 4 SITE IMPROVEMENTS AND SERVICES Water Public Water Service Provider Annex -Formation Required Distance to Public Water (Feet) Proposed X -ExistingCAL t� -l- S 7Ltll I f�c4�. iTe. Private Water ❑ Existing Well ❑ New Well ❑ _ Well Replacement ❑ Public Sewage Disposal Sewage Disposal = Annex -Formation I Distance to Public Service Provider Required Sewer Facility Pro osedAdJa-im., Exi� tin ,- C r 0� S� G ND a h �K On-site Sewage Disposal ❑IF—_ Existing Septic System ❑ ` New -Septic System El Other ❑ Public Storm Drainage Proposed ❑ Storm Drainage Service Provider (if Public) Annex -Formation Terminal Drainage Detention -Retention Required to: Ponds Existing ❑ Private Storm Drainage ❑ On-site Retention Pond(s) ❑ Natural Drainage/No Chane Other ❑ Electricity Telephone Service ° Service Provider Distance to Service I Service Provider Distance to Service i� C* le: AT -4 -r- C' JL"i�n' School Service Fire Protection Service t �� Service -Provider Distance to Elem School Service Provider Distance to Fire Station Existing Roads Road/Street Name R.O.W. Width I Pavement Width Curb/Gutter I Sidewalks C O Zv ' Yes ❑ No Yes ❑ No r v7I n E 6e -e- V L10 ( ZD Yes ❑ No g- Yes ❑ No Proposed Roads I Road/Street Name R.O.W. Width I Pavement Width Curb/Gutter I Sidewalks AJA' I Yes ❑ No ❑ I Yes ❑ No ❑ 1 l'4 I Yes❑ No❑ I Yes El No El F:\DEVSVC\Planning Application Forms\ Page 4 of 7 Lot Line Adjustment.doc. (Revised 05-11-09)