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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 Footage or <br /> or Acreage Acrea e <br /> S n e+�n 20. y +/- IU Zoe/- <br /> C.Dt Qy 0_ e_+i 35 . 1-141- 10 D a/- <br /> arc-e, n +� D. <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water(Feet) <br /> Proposed❑ <br /> i <br /> Private Water Existing Well New Well C Well Replacement C <br /> Sewa eDis sal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing C <br /> Proposed C <br /> On-site Sewage Existing Septic System,C New Septic System C Other C <br /> Disposal <br /> Sto=Draina e <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage7No Change Other C <br /> Oraina e <br /> Electricity Natural'.Gas <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> kG s ,l Electric Co I ft 61 <br /> ne- <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Y tic bell /]O z, <br /> School Service fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> V(aLeu klow e_ Z m Ile V ct /L6,V fqo e Z D i <br /> Existin Roads <br /> RoadlStreet��Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> O O M5 0 0 0-i 7 U a Yes C3NoA Yes O NON <br /> Yes❑ N-K Ye.0 Nok <br /> Pro sed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter A Sidewalks <br /> Yes❑ NoC Yes No C3 <br /> Yes O No 0 Yes C No❑ <br />