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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Fo tu,o <br /> or Acreage or Acreage <br /> > . c 6. <br /> Public Water Sarvbe Provider Annex-Formagon Distance to Public <br /> Existing D Required Water(Feet) <br /> P.opoaed❑ <br /> Private Water Existing Well p. Nov Well D Well Replacamare ❑ <br /> -a e,s•r.• ,c Sswege Dingwi s X15, "' d€w a 4 <br /> Public Sewage Service Provider Annex-Formation Distance te Public <br /> Disposal Required Sewer Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-sae Sewega Existing Septic System ❑ Naw Septic System P Other ❑ <br /> Disposal$ <br /> Storms Drainage <br /> Public Storm Service Provider Annex-Formation Terminal DrainageDetentlon- <br /> Drainage Required to. Retention Ponds <br /> Existing❑ <br /> Proposed D <br /> Private Storm On-sge Retention Pond(s) ❑ Natural DrainagoNo Change)E( Other D <br /> �rainogc'9 <br /> Etectilally $� r '`; t 'a ; °,$;.ti wrr : `tWtyn[ll u, ,{ .. � a �% e <br /> .,sums Provider Distance to Service Service Provider Distance to <br /> Service <br /> Telephond - CaEle TetaW%Ion Se(WM <br /> Service Provide, Distance W Service Service Provider Distance to <br /> Service <br /> Sah60 Servke-., a R 3; '' e s :• ° i :,: <br /> Service Provider Dim..to Elem Service Provider Distance to Fire <br /> School Station <br /> Road/Street Name R.O.W.Width Pavement Wirth Curb/Gutter Sidewalke <br /> / Yes No)2L Vee❑ No$ <br /> y� Yee❑ No D Yea O No❑ <br /> ` Rood/Street R,me ROW.Wid rte Pavement Width Curb/Ouaer Sidewalks <br /> 1 � - Yee D No❑ Yea❑ No O <br /> Yes❑ No❑ Yes❑ No❑ <br /> 3. <br />