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oP4�tN APPLICATION — LOT LINE ADJUSTMENT y� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT m; FILE NUMBER: �'4ClFOR�? PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage I G 5.5 Ac. 15 .5 AC, 2 0.0 . AC. G .o Ac. 4 AC . AqZRE M)CNTIAL SA AC, 4S.o AC, SITE IMPROVEMENTS AND SERVICES Water Ann tion Distance to Public Public Water Service Provider Re uired Water Feet Proposed❑ Existing❑ TeWATE W Private Water Existing Well fAd New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility PropoExisting PRt DATE SEPT, C S N o N A On-site Sewa e Disposal _______fxistin2 Se tic System 5k New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ Required to: I Ponds Existing[I tiATOVAL Mow NO 1 DricRM91 NES Private Storm Drainage Onsite Retention Ponds ❑ Natural Drainage/No Chane Other ❑ Electricity - Telephone Service Distance to S rvice Provider Service Service Provider Distance to Service sf School Service . Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station o K V�EuJ 211Z 1 . 2T FiaE oISJ A41 . Existing Roads Road/Street Name R.O.W.Width PavementWidth Curb/Gutter Sidewalks Lt OR �0 t f. Yes❑ No k!r Yes❑ No,B Yes❑ No❑ Yes❑ No❑ Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes ❑ No❑ Yes❑ No❑ IL Yes❑ No❑ Yes❑ No❑ POEVSVCWIanning Application FOMM Page 4 of 7 Lot Line Adjuatrnent.doc.(Revised 0&11-09)