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_OT LINE ADJUSTMENT SAN JOA UIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT PROPOSED'PARCELS Parcel Number Existing or Proposed Use of Parcel Existing Proposed Square Footage Square Footage or Acreage or Acreage 6i7-(IYol - 9C'�z � SITE IMPROVEMENTS AND SERVICES Water Public Water Service Provider Annex-Formation Distance to Public Existing❑ Required Water(Feet) Proposed 0 Private Water O Existing Well New Well O Well Replacement O Sewage Dlsposal Public Sewage Service Provider Annex-Formation Distance to Public Disposal Required Sewer Facility Existing ❑ Proposed O On-site Sewage Existing Septic System New Septic System O Other O Disposal 0 Storm Drainage Public Storm Service Provider Annex-Formation Terminal Drainage Detention- Drainage Required to: Retention Ponds Existing O Proposed O Private Storm On-site Retention Pond(s) O Natural Drainage/No Change Other L7 Drainage 0 Electricity: `. , Natural Gas Service Provider Distance to Service Provider Distance to Service Service Telephone Service Cable Television Service Service Provider Distance to Service Provider Distance to Service Service School Service' Fire Protection Service Service Provider Distance to Elem Service Provider Distance to Fire School Station Al` lzs�`&Al Llys-d �? — Mist _s- l//��_1c%y-�/e 4)L L Exiiiing'Roaals Road/Street Name /� �7 R.O.W. Width Pavement Width Curb/Gutter Sidewalks Fl� /tCTi7/-) ',/6 I-L-t-7 A} )I`/119[. Yes O No l, ' Yes ❑ No Yes L7 No 0 Yes 0 No Proposed Roads Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks Yes O No O Yes O No d Yes LJ No O Yes LJ No O F:EE'/SER/:DA K/PWAPPS/LO7LINEADJAPPM" REV 2/1/99 -�-