Laserfiche WebLink
APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> IIb;yy�� K <br /> FILE NUMBER: <br /> \Gfpp_R� <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existinq or Proposed Use of Parcel Footage or Acreage Foote a or Acreage <br /> -05'0 - 1 re i) �7vN ill ��rs fua 3a, 5-9 FSG 2z, FSG <br /> 023 -Ao -22 A9,cc f}c s15 G <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existinq ❑ <br /> Private Water Existing Well New Well ❑ Well Re lacemant ❑ <br /> Sewage Disposal <br /> Public Sewage Ann tion Distance to Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed❑ <br /> Existin ❑ <br /> On-site Sewage ,,_,/ <br /> Disposal <br /> ExistingSeptic System vl� New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> DOn-site Retention Ponds ❑ Natural Drainage/No Change Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> G f� S0 ' e,r X0!"7 30a ' <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service <br /> //Provider School Service Provider Distance to Fire Station <br /> � Vrinl Yl G- Z ah��C GIP��vt' ZlNti�G <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Cur /Gutter Sidewalks <br /> E, /TGljlY[, C 570 -1 S 7 Yes❑ No 9?" Yes ❑ No R?" <br /> Yes❑ No❑ Yes ❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes ❑ No❑ <br /> Yes❑ No❑ Yes ❑ No❑ <br /> F ZlEvsvclpianntng Application Fornnst Page 4 of 7 <br /> Lot Line Adjust.entooc.(Revised 64-04) <br />