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oP4�IN• APPLICATION — LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> -`' FILE NUMBER: <br /> �IFORN <br /> PROPOSED PARCELS- <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Format on Distance to Public <br /> Public Water Service Provider Re a red Water(Feet)- <br /> Proposed ❑ <br /> Existing❑ <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage. Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facili <br /> Proposed❑ <br /> Existing❑ <br /> On-site Sewage <br /> Disposal❑ Existing Septic System ❑ New Septic S stem ❑ Other ❑- <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing❑ <br /> Private Stom <br /> Drainage❑ On-site Retention Ponds) ❑ Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity Telephone Service <br /> - Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes ❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> ProDosed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F1DEVSVC71anning Application Fonns\ Page 4 of 7 <br /> Lot Line Adjustment.dw.(Revised 05-11-09) <br />