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ly/ <br /> l <br /> Rpt" • . APPLICATION -LOT LINE-- ADJUSTMENT <br /> ' SAN JOAQUIN COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Pro osed Use ofParcel Existing Square Proposed Square <br /> Foota a or Acrea a Foots a or Acrea e <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distaride to Public <br /> Proposed❑ Re"uired Water Feet <br /> Existin <br /> Pr[vate,Water Exist! Well New Well <br /> Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage <br /> DisposalAnnex-Formation Distance to Public <br /> Proposed L] Required Provider Re uired <br /> Sewer>=aciiit <br /> Existin ❑ <br /> On-site S wa e <br /> Dis osal Existin 1 Septic S stem New Septic S stern ether ❑ <br /> Public Storm Storm Drainage <br /> Drainage Service Provider(if Public) Annex Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to- <br /> Existing❑ Ponds <br /> Private Storm <br /> -Draina a On-site Retention Pond s Natural Drama a/No Chane , <br /> Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> f Service Provider Service Service Provider <br /> s� ©!stance to 5 rvlce <br /> School Service 51 e. <br /> Fire Protection Service <br /> Service Provider Distance to Elem <br /> School Service Provider Distance to Fire Station <br /> ri <br /> mr <br /> Exis#in Roads <br /> Road/street Name R.O.W.Width Pavement Width Curb/Gutter <br /> % Sidewalks <br /> cc)t7 Yes❑ No Yes❑ No <br /> Yes❑ IVo❑ Yes❑ No❑ <br /> Pro used Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter <br /> Sidewalks <br /> Yes❑ No ❑ + Yes❑ No❑ <br /> - - Yes ❑ No ❑ <br /> Yes❑ No <br /> F:IDEV$vMPianning Appfication Forms) Page 4`of 7 <br /> Lot Line AdJustrnent.doc.(Revised e-3-013) <br />