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APPLICATION - LOT LINE ADJUSTMENT <br /> r.-' cAy SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> c <br /> FILE NUMBER: <br /> rI FORS <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or a Footage or Acreage <br /> h ; yZ zL -Z <br /> 0 <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Re uired I 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 R uired Sewer Facility <br /> Proposed ❑ <br /> rDis <br /> xistin ❑ <br /> site Sewage New Se tic S tem ❑ Other ❑ <br /> osal ❑ Existin Se Gc S stem ❑Storm Drainage <br /> blic StormDrainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> oposed ❑ Required to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage❑ On-site Retention Pondsi ❑ Natural Drainage/No Change Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> Ji <br /> School Service Fire Protection Service <br /> S Distance to Elem//ervice Provider Scholl Service Provider Distance to Fire Station <br /> "�...�11�� ExistingRoads , <br /> !'V Yt<'&Aad/Street NameR.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> C!/ Yes❑ No QYes ❑ No Er <br /> Yes❑ No[9 Yes❑ No R— <br /> Pro sed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> LL E_ Yes❑ No❑ Yes❑ No❑ <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> F 1nEVSVC1Planning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustmentdoc.(Revised 05-11-04) <br />