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� I 'I APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT g Parcel Number j Existing or Proposed Use at Parcel Existing proposed I S4 Uare Footage Square Footage or O� `1 '` or Acrea e+ Acrea e 013— w—c 'I! �� Rif I SITE 1MEROVEMENTS.ANd SERVICES,..::: Water. Public Water I� Service Provider Existing❑ Annex Formation Distance to Public Proposed❑ Re aired Water(Feet) i I Private Wat it Exislin Wefl New Well Cl Well Reufacement ❑ I Public Sewage ` Service Provider Annex,Formation Distance to Public Disposal Required Sewer Facility Existing Q II Pr000sed C I On-site Sewa a !� Existing Septic System New Septic System ❑ Other ❑ Disoosa I i ;> 7777-7 oiTii Drains"e . ...:, Public Storm I i� Service Provider I Annex-rormation Terminal Drainage I Detention- Drainage I Required to: Retention Ponds I Existing❑ I� Proposed❑ l Pnvote Start {, I� On-site Retentlon Ponds) Natural DrainagelNo Change ❑ Other C!i Crainage Elect rlclt r. :> Service Provider Distance to Service Service Provider Distance to Service { Telegti"one Service Catlle:TelevlslonsServtcta? I Service Provider I Oistance to Service Service Provider Distance to Service eLL o r S, C�im C S '91 21 SchooE:Servlce a ro . :> Fir .P tectlon�Servtce.:3 I Service Provider i �' Distance to Elem Service Provider Distance to Fire L.tcrr S VLQQ School SlaHon ✓'It h' 12 w2 �bv�C3,r`I i. - %. .Exisfirla Roads. RoadlStreetlName R.Q.'N.Width Pavement Width Curb/Gutter Sidewalks ewai Yes G Na`f�' Yes❑ No I� I t / c Yes 0 Nem-. Yes❑ Nog ..t, '' Proper§e�oads , RoadlStreet'Name R-O.'N.Width Pavement Width CurblGutter Sidewalks Yes❑ No❑ Yes❑ No❑' j� Yes❑ No❑ Yes❑ No I I I i1 I� ! :I r�