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AdPLIGATION - LOT L E ADJUSTMENT y� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT v,: X FILE NUMBER. �•.., _mow° •� O' rsi r xP £� S 1?�ARfLNow S: "k? vl Pv ; x� r Existing Square Proposed Square Parcel Number Existing --------- se of Parcel Footage or Acrea e Footage or Acrea e 159-100-04( 06 Vacant Land SFR 15. 8 AC - 159-110-11 Vacant Land SFR Lot 6: 1.. 4AC+/ 2 AC +/- 159-110-10 Vacant Land SFR Lot 7: 2 BAC+ 3 AC + 159-110-10 Vacant Land SFR Lot 9: 2. 5AC+/ 2. 5 ACE/ S TE IMF Q•`E EN 1 S 1�Fb SERV:I IWM �. - .. �. x Hca ; OR a rF . S Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existing ❑ No site improvements proposed Private Water❑ Existing Well ❑ New Well ❑ Well Re lacement ❑ WM , a b15 x051,1° & Ea nknr'� ` �� -� ��u3 �: '°• �.mss" a �� .'`� :` Public Sewage Annex-Formation - Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ Existing ❑ No site improvements proposed On-site Sewage Disposal ❑ Existing Septic System ❑ New Septic System ❑ Other ❑ rar e- Public ry w u >v Public Stoml Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing ❑ No site imProvemaaLE==2.rcMosed Private Storm Draina e ❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ❑ Other ❑ ZRINM:. ea eh 7e;lho eSef1Vpce ' Distance to Service Provider Service Service Provider Distance to Service PG&E N/A SBC To, tae; d-et_ermined $ Fire ProteetionS rvice _ _ _ Distance to Elem Service Provider School Service Provider Distance to Fire Station SUSD . 23 miles Eastside Fire Distric 10. 53 miles ... iii - w r a � sEXIStI rfijj _3.Ct&3 �. € _ 3 i r tr_ s a Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Walker Land 40 ' , 22 ' +/- Yes❑ No® Yes ❑ No[0 East Main $Q' 45 ' +/- Yes ❑ No 1Z Yes ❑ No I all W-11 52 MINING Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks No dedications or Yes ❑ No❑ Yes❑ No❑ ir<t Yes ❑ No❑ Yes❑ No❑ F:IDEVSVOPIanning Application Forms\ Page 4 of 7 Lot Line Adjustment.doc.(Revised 6-4-04)