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r yak <br /> f4T LINE ADJUSTMENT" <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> °� ; <f¢ AC'� C LSA - ,. <br /> .: . oa s n, <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage. or Acreage <br /> Fa-vo _ �e� �s X890 <br /> , <br /> M1 . <br /> EMIR <br /> 9 <br /> If:.�e��Ti i-..e,.d.3lr .x.Y9..,. <br /> to t°.. ...� .. .. <br /> Public Wats/ Service Provider Annex-Formation Distance to Public <br /> Existing® Required Water(Feet) <br /> Proposed f� <br /> Private Water❑ n R Existing Well ❑ 11,c�_, New Well ❑ 1? G• WeIl Replacement ❑ <br /> this <br /> 5vageDls osal <br /> ' 3ii� <br /> No <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal . Required Sewer Facility <br /> Existing,❑ ,S erl <br /> Proposed❑ <br /> On-site Sewage Existing Septic System New Septic System ❑ Other ❑ <br /> Disposal❑ <br /> �lrH e:r" ., ° <br /> �Sfo �Drafnae; dI rA, 7 <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> r Existing❑ <br /> Proposed❑ <br /> Private Storm Orr-site Retention Pond(s)❑ Natural Drainage/No Change ❑ Other ❑ <br /> Drainage❑ <br /> " EleLtriCit{/ m » $ µ ES !Mgg'tflral F <br /> 0. <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> \30 e� <br /> �_� t+�`�" y�_ .> ?.Y4e i .3fi�'°•� is 8y?q:�i { �#t.�'n�,.,�,i-� ^:&'4t a y�"�"€@.w±€�y <br /> revision'Serylce ; <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> a,0112 rn <br /> za <br /> �¢-z�= r r 4 "W,a i <br /> faction Service ,:: <br /> Sc ool�Sery _ �ire P <br /> ., -3 Y n dire¢-st e 3 �. <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> S� C,4 NiiT <br /> i Sc>u�. S`- ✓. ��.�+i I� . 7 ��GP ,ecr syr il�S <br /> F�ristlnllyROads ., �` i' " <br /> Road/StreetName R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No)<. Yes❑ No)K <br /> ]v ^0,41 <br /> 3pe { .yam p .gid, Imo' Yes X Yes❑ o <br /> ,.� ? `. ._ ', ,. _ t E:lPdpe 120ads ,# a.x snf ,.1 <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes No Yes❑ No <br /> 1 _ <br /> 1:f1 PMP/.LAN Febmry 1,1999 <br /> -3- <br /> j <br /> i <br />