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LOT LANE ADJUSTMENT <br /> UN OM UNI <br /> S DEVELID OPMENTRT�idEHT <br /> Parcel Number 4pARC$L'S ;_ i <br /> ;i Existing or Proposed Uao pf Parcel r <br /> Existing <br /> Square Footage 1 Square Proposed <br /> Exisor Acreage q Footage <br /> tin Residential N or Acreage <br /> 2 Exi 1 - 0$ Ac 1 . 09 Ac <br /> 3 . 65 Ac I <br /> EI I <br /> f <br /> ;: � �f � rS,AND,sERViCEs <br /> PublicWater ..;; �-,�,��: ��i�r!•� f4 <br /> Existing$!X, Service Provider <br /> Proposed p Annex-Formation Distance to Public <br /> Required Water(Feet) <br /> ' Existing POb1iG Water <br /> Private Water[] � /City <br /> NSA <br /> Existing Well Q O n sit e <br /> New Well Q Well Rep! <br /> scement O <br /> Public Sewage <br /> Disposal Service Provider N <br /> ExistingXZ{ Annex-Formation <br /> Proposed D Distance to Public <br /> Requlred Sewer Facility� Existin <br /> Ing Sewer / Cit <br /> On-site Sewage Y OE <br /> S t o c k t o N/A <br /> Disposal❑ Existing Septic System G New Septic.System G <br /> Other p <br /> E! <br /> Public storm '`'k� o ►tc, na�,e' �` (. I <br /> Drainage Service Provider <br /> Existing QX X Annex.ForInII Terminal Dralne ' <br /> `; Proposed 0 Required age Detention- <br /> to: Retention Ponds <br /> NSA <br /> i <br /> 'Private Storm 5 Mile C r <br /> P Drainage&X On-site Retention Pond(s)G k <br /> Natural DralnagoIND Change g M Other G <br /> FJectdclty <br /> Service Provider Natural Gas <br /> Distance to <br /> PG&E Service z Service Provider <br /> Onsite On <br /> Distance to <br /> PG&E Service <br /> Telephone Onsite <br /> e �� '" •, <br /> E.I Service Provider Cable Television Service <br /> Distance to p <br /> Service Service Provider <br /> " SBC/AT&T Distance to � <br /> Onsite Service <br /> School Servlae` r s� 2s• ,�,� C omC a s t <br /> On <br /> Services i t e <br /> Provider `:'' I <br /> ", '3F1^�Prolectlon Servi <br /> Distance to Elam ce I <br /> L i n c o l School Service Provider <br /> n USD Distance to Fire <br /> 250 + Station <br /> Road/StreetName r4I !s g�Rcods; ` <br /> R.O.W.Width Pavement Width <br /> . r 1 V a t e Pa el Curb✓Guttar <br /> 1 Sidewalks <br /> Licoln Rd + YesG N <br /> arcel o 7K <br /> 2 = Yes G No fi7x <br /> NQ <br /> �.' Ye <br /> R a O No <br /> �/��w Name <br /> EI oad/Strl9et Ni�f1f (:�',. 4�klF r;.;'d • 1 <br /> R.O.W, Width <br /> !� ,N O n e (No Chan e) Pavement Width Curb/Gutter f Sidewalks <br /> Yes V No G rest No O <br /> ! Yes D No D Yss G No G <br /> ►ID[V[[N/[MF[/r�;/yfAfP[/WS6iiilq,�R�RiPI¢Mik Nay� y ~I�.r: , , <br />