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oPa�ty. APPLICATION - LOT LINE ADJUSTMENT , z' t"—�'• `% SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT yl� < FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of ParcelFoota a or Acrea a Foota a or Acreage 0 2 0 L_ J S" Pt L I 0112 G-O "r>s Re A L. . OttoZSr J ro SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existin ❑ —/ Private Water(� ExistingWell (vim New Well ❑ Well Re lacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ Existin ❑ On-site Sawyp Dis osal Ly Existing Septic System New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ Required to: Ponds Existing❑ Private Storm/ Drainage Ly On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service L IV 3 1- N A School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station 3mtus I^no L4 ( Los Exis ng Roads Road/Street Name R.O.W.Width I Pavement Width Curb/Gutter Sidewalks c`(Z Yes❑ No Yes❑ No G(`o t R 7— © I 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❑ F:\DEMMPlanning Application Forms\ Page 4 of 7 Lot Line Adjustmentdoc.(Revised 05.11-09)