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�At- PLICATION - LOT LIN= ADJUSTMENT <br /> ��so SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> m <br /> FILE NUMBER: <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footagepor Acrea e <br /> L55 -Z50-o GUMMGEK6JHL G(�TTJ GML <br /> —;i- .e.n N7• !J <br /> 255- LSo-off Gow.M�r-clw�- 'L•2"I 1.32 <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existing ❑ <br /> Private Water Existing Well New Well Well Replacement <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed[1 <br /> .Existin <br /> On-site Sewage New Septic System Other <br /> Dis osal Existing Septic S stem <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing ❑ <br /> Private Stor <br /> Drains is On-site Retention Ponds Natural Drains a/No Chanqe Other <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P4 �' ExJST/ 5� �ctsT►►-�4 <br /> Service Providar Distance to ElemSchool Service Provider Distance to Fire Station <br /> (J3S L LBS T CUCM1111- 666 C)6TCAC'_ 14 iWtr <br /> RoadiStreet Name R.O.W.Width I Pavement Width Curb/Gutter Sidewalks <br /> 4uFt,C►+la dbrmlr,> t,-b. l3Z �t Yes❑ No Yes[I No <br /> rd� AUt.luuGb I Yes❑ No Yes❑ No <br /> RoadiStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N f♦ Yes❑ No❑ Yes ElNo❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:0Ev5vClPlsnn1ngApp1ioa0cn Fomis\ Page 4 of 7 <br /> Lot Line Adlustment.doc.(Revised 64-04) <br />