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APPLICATION - LOT LINE ADJUSTMENT _ <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed We of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> ,.-17- a9o- �� CPra�osec�� sly 1� �' pwell���• _ 5 Ac- <br /> 1. 13 <br /> 2147- D9o- 0_1 vr6-l — Q5l ���h . ) l.�� AC 1. 27 AC <br /> ...}>}: ::.}::.;:'::..:.:;;,. ..:.;:.;..}'.:...;'::.;SITE# At3..:�1�t�NT�a�:;1�1+1�3 St1f1��$.;..:::.;:.:,.;'.;::; <br /> .......................... <br /> *K:K <br /> .... .............. <br /> ....... <br /> ...... ..... <br /> X�:X�X�X�X,.: <br /> ...... .. . <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water(Feet1 <br /> Proposed❑ <br /> T6 be d 2->e rM 1�oe,4 l a,Ike r <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement O <br /> ii <br /> i:4i>::iil:} <br /> .::..::::::::: <br /> ................ .:.....,�:::..?vy ..........'??..... w::;•:}::.v•::v:•}r4:O};:::?.}};•:}y.}•..}:v} ?} :}}:4}::}}':?:.r?::.:;}}'•}: <br /> ............... ............... .................. .............. y:?r::. <br /> ................................................................................................................ :.. ..:..:::: .. ;. <br /> x <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sewage Existing Septic System ❑ New Septic System ❑ Other O <br /> Disposal❑ <br /> Stotttri Ditirip' <br /> ::::: . <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm On-site Retention Pond(s) O Natural Drainage/No Change Other ❑ <br /> Drainage❑ <br /> ::;n,.:: <br /> .:.:. -... ... ...........;.;:.;:.}:;:.:::::::: <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> T6 �-e_ dt4-erMl✓1 sol To 6Z <br /> ::::::.. . ...:.'..:..:::. :::::..:.:::.:::::::::::::::.;.:::::.::..:::::::..:..........:::::::::.:. :. ... <br /> .. .... ..... ..... : ....... _. _ .. ........................ .. <br /> Service Provider Distance to Service Service Provider Distance to <br /> J <br /> .:.:.:.:.:.:�.:.:.:....�.�....... .*.'.'.'."."'-*"'..",:.".e..:.:. ,: ::.-::-:::-::.a:.v:•.v::•:::.}. ..,tinK.. •tt�,.}• •••••v:}.4a..}.r:.:e:L.;$•.•.•.::.::;•.:.:•.}.r;f:,:•}}},•.•:,»:.:}::;:::..• <br /> ;x4:n:.;• <br /> ..?v.v <br /> .:.RC}'.rc�::v:::.:v:.:•:.}}v,?'.t:.;;n:.?.....;.:;k?.r,.vf4. <br /> .. S•?}e'.r.v.i.ce <br /> T3 -e-C) A/ A <br /> :::: ::::::::::: W }}:}:}}:} .: <br /> .+f.+}.....:... <br /> ;:;,;v,..}?;:;�:�<.: vt��.••.�'..•��. .. ....•'::>}::::::.�:x'::::::::•:: .�.�9f4 ............ <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Es Co lon V, S. D. Lf /� L'sca-Idh F. P (�. 3. S <br /> ................ <br /> . <br /> ..:..:::.:.:........:::. <br /> ........:...... <br /> .:::.:;.};;:. <br /> : > <br /> . .............. <br /> ..........:.. <br /> ................................................................ <br /> ..........: . : <br /> .:::::.. <br /> . ....... <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> C p , <br /> G k l y-er l` d. 60 Yes❑ No Yes❑ No <br /> Yes D No❑ Yes O No❑ <br /> ::•%�>rr:{.;y f•'i.:i:�}yq}:•'.v::�r{i?:{?:J.4}:{4}:?Si}'r}iiiiii:2:i::ii•:i0:i <br /> :.�:.......... v:4 ...........{�......... <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Al 1 ,A Yes O No❑ Yes❑ No O <br /> Yes❑ No O Yes❑ No❑ <br /> -3- <br />