|
i�
<br /> E
<br /> I ,
<br /> APPLICATION - LOT L11i
<br /> ADJUSTMENT
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> II �' FILE NUMBER.
<br /> -
<br /> �
<br /> Existing Square Proposed Square
<br /> Parcel Number EAsfinq or Prod Use of Parcel Footaqe or Acreage Footage or Acrea e
<br /> d rz j
<br /> Q i
<br /> CJ
<br /> r
<br /> �tFs ���� ;�.�' 4s �zrr�,,� w �� � ,,; } � IM
<br /> ,'aa� �^
<br /> Public WaterAnnex Formation Distance to Public
<br /> Service Provider R wired Water Feet
<br /> Proposed El
<br /> .EAsting QI
<br /> Private Water Existing Well Now Well Well Replacement
<br /> .�. ._r- a w.. � ,�.- .�._._ _.. .mss. �. _�_K, m r r s :"� '•F �, � .� �,.. �.
<br /> Public Sewage Annex-Formation Distance to Public
<br /> Disposal Service Provider Re uirad Sewer Facility
<br /> Proposed ❑
<br /> Existin
<br /> On-site Sewage
<br /> .aDis sal ExistingSe tic S tem New Septic System E] Other
<br /> �r"-c �6 '.:y ��'' .p� , ys�k�fj•�'�"�`',� ' ���''�'t�'€a y" �.�s e_ Y�,�r, �t.:t q.s,.y,Y' ei.�;�%�':",� ., �' f rsPrt` '�i` ,�� ia r m �.tA
<br /> ,,.�; ar, A3 & 4 ,.eua t $1171lt[tzy � ` � t ` '` rxLs
<br /> Public Storm
<br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention
<br /> Proposed❑ __Required to: Ponds
<br /> Existing❑ r
<br /> I
<br /> Pnvate Storm i
<br /> Drain a fj On-site Retention Ponds Natural Drainse1No Chane Other
<br /> ,s;�'�^;� sx '��r� ,t�'� iSmCd��'9'`'z i^. - r §
<br /> � . ,r, .k "g. Tl3lRph1hKI
<br /> Distance t0
<br /> Service Provider Service Service Provider Distance to Service
<br /> Service Provider Distance to Elem
<br /> q School Service Provider Distance to Fire Station
<br /> 40 011
<br /> % .g, a - :iR. ,..P� 3r..,_. r.. :£. X➢8#� Yd� a t ..a6N w �3,5.5�vA ,sw ?' u, sWE
<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks f
<br /> r /
<br /> Yes❑ Non Yes❑ No
<br /> Yes❑ No❑ Yes❑ No❑
<br /> � Yyo-�:� $" i'� ��,,,A�S� .. �,�4'+�yf `^a''�&��,�` "'��°,-�fii�' �'? `:,; � ;;` ;'�Y xm_'�rs%.�.`- _`ae,E,rr s
<br /> s - 'r ` 'w3 "' 3� ."k'.:,a .F �1 ,. -` a `' ,g?a 3
<br /> 9k "`t .e� .. �� ".', ,3. tyy�'4.;a4w.9tr�, �,x� Yr �,e;F'
<br /> Road/Street Name R.O.W.Width Pavement Width CurbtGutter Sidewalks
<br /> Yes❑ No❑ Yes❑ No❑
<br /> Yes❑ No❑ Yes❑ No❑
<br /> E!
<br /> rMEMCiftnning Application Formsl Page 4 of 7 !
<br /> Lot Line Adjustmenkdoc.(Revised 64-04)
<br /> E!
<br /> !i
<br /> ti
<br /> i!
<br /> i '
<br />
|