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>0 t, �o Ati ``'L1CATION -- LOT LIr ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT . <br /> P:. FILE NUMBER: <br /> Ci=o•'ia` <br /> PROPOSED PARCELS <br /> Parcel Number Existing Square :Proposed Square <br /> Existin or,Pro osed Use of Parcel Foota a or Ac <br /> rea a loofa a or Acrea e <br /> ell, �� !t <br /> SITE 1MPROYEMENTS A�fD SERVICES - , <br /> Public Water Annez-Formation Distance to Public <br /> Service Provider <br /> Proposed❑ Re uired Water Feet <br /> Existin ❑ <br /> Pnvate'Water(2 <br /> Existing Well New Well ❑ Well Re lacemertt ❑ <br /> Sewage Disposal:., <br /> Public`sew <br /> age <br /> ' <br /> Distance to <br /> PublicDrs <br /> Disposal Ann x- <br /> ForrnatiDn <br /> Proposed❑ Service Provider Required Sewer Facility <br /> Existin <br /> On-site Sewa <br /> bis osal Existing Se tic System New Se tic System <br /> ❑ Other ❑ <br /> Public Storm Sto.rm.Drair6ge <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Draina a ��On�site Retention Ponds ❑ Natural Draina e/No Change Other ❑ <br /> ii Electricity <br /> II Telephone'Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> i. School Service Fire Protection Service <br /> li Distance to Elem <br /> Service Provider School Service Provider <br /> Distance to Fire Station <br /> it <br /> Existing Roads <br /> �„ Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 0,0 11 <br /> Yes ❑ No E] Yes ❑ No <br /> Yes ❑ Na ❑ Yes ❑ No ❑ <br /> Pro osed Roads <br /> i Road/Street Name R.O.W.Width Pavement Width h CurblG <br /> utteL Sidewalks <br /> it <br /> Yes❑ No Yes ❑ No11 ❑ <br /> Yes❑ No❑ Yes ❑ No ❑ <br /> 1DEVSVC1Pla1nning Application Formsl Page 4 Of 7 <br /> A Line Adjustrfient.doc.(Revised 6-3-03) <br /> Ij <br /> i <br /> s <br /> i <br /> i If <br />