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LOT LINE ADJUSTMENT <br /> SAN N COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> a5�-27U-'16 omt.sife ro osecj 3 ac3 acre <br /> .n AS b. i ISN; e e <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing O Required Water(Feet) <br /> Proposed O <br /> 17 rJ 0. <br /> Private Water Existing Well Ll New Well Well Replacement O <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing O <br /> Proposed O <br /> On-site Sew��a99e Existing Septic System O New Septir. System Other O <br /> Disposal <br /> Storm Drainage <br /> Public Storm Service Provide Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing O <br /> Proposed O <br /> Private St rm On-site Retention Pond(s) O Natural Drainage/No Change Other O <br /> Drainage <br /> A- -E/ectFle. <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> <.. 5,n 4 none- <br /> Service <br /> o Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> �1 ova <br /> 'R�lXn�f� ed Sc�noc� � tnil � ori ire � ePt. 3 miles <br /> k: 1 Road/Street Name R.O.W. Width Pavement Width Curb/Gutter S/dews/ks <br /> c -f f, ff.'f- Yes 0 No,�r, Yes 0 No <br /> Yes O No O Yes O No O <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes O No O Yes O No O <br /> Yes O No O Yes O No O <br /> ftoN9GVIMM/PIIJIMpf/ILTLINGp.IAPP[OpM PPV 3/1/99 -3- <br />