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3 Lor LINE ADJUSTMENT P" • SAN JOAQUlN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT Parcel Number Existing or Proposed Use of Parcel Existing Proposed Square Footage Square Footage or Acreage or Acreage 059-Dye,• /109^30 Z Z . Q 0��• psi a� Ctit",�,�� ,.5 , Z a 7 7 Zh. .•.. �i. r°4:.a, t 3 t,x a s=F ys �,arM,,fib� tr- e i a.- =v 'ss�s sf+ t3' w --F��' a �. --'' x�.. � ',�*�, ,�L;'*,re°c °°,+T?.; ' Yffi""AW, y - 1MPROVEMEAITS-AND.Sl~RYlCE I A a,:.: ,- `F. 3�.,.sysa��,�* x:,t�s��.,sr .;„ :.,. F.e� x�r �4,a.oxW�ter��i. 1. +..':w� rant �'� �� :.�.SY�i*��3.�Y•�v.ew�a x4� �� u Public Water Service Provider Annex-Formation Distance to Public i Existing❑ Required Water(Feet) Proposed❑ Private Water a Existing Well (a/ New Well ❑ Well Replacement ❑ i r d s xsary s;�s as ' 9�3s' c TDlu� - r SelNages�7oSa1 „�C,c.e.r;iE�sx '"r4:?�' tnr ;m. r: + q 1,"; `a 1 Public Sewage Service Provider Annex-Formation Distance to Public Disposal Required Sewer Facility f Existing❑ Proposed❑ NO . i On-site Sewage Existing Septic System ❑. New Septic System ❑ Other 0 Disposal❑ ry" Public Storm Service Provider Annex-Formation Terminal Drainage Detention- Drainage Required to: Retention Ponds Existing❑ Proposed❑ Private Storm On-site Retention Pond(s)❑ Natural Drainage/No Change ❑ Other ❑ Drainage❑ ectricityr,} 5�5 Service Provider Distance to Service Provider Distance to Service Service Telephone Service Cable.Televislon Servlc a :,, ','; Service Provider Distance to Service Provider Distance to Service Service School Service hire Protection Service Service Provider Distance to Elem Service Provider Distance to Fire School Station Existing Roads, Road/Street Name R.0.W. Width Pavement Width Curb/Gutter Sidewalks Yes❑ No fns Yes 0 No Q- Yes❑ No❑ Yes❑ No❑ ..Proposed Roads Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks - Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ PA—LASS august 24,199E