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L_ ,' LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> EA PA <br /> , <br /> b <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> 'Z- <br /> xa';1�7 �,';ed;A ars. tYrA:E', rrfh ;...Wolin _,an,'sltflay«.+,fy�, Srax, +?k <br /> SIIY(PR EMF.N 4:NDiiS21/iCE r , �°3 y , <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water(Feet) <br /> Proposed❑ <br /> Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> `Si4t - , C . `eagep <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing❑ <br /> Proposed❑ <br /> On-site Sewage Existing Septic System V-New Septic System ❑ Other ❑ <br /> DisposaNY <br /> 'Fr rj r+�+.`-'rr as ;t+5s-Storm,Dfaina BI �ti <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> Private Storm On-site Retention Pond(s)❑ Natural Drainage/No ChangeAS. Other ❑ <br /> Drainage; 1 Natural, <br /> Service Provider Distance to Service Provider Distance to <br /> Service p Service <br /> To ephone,Service,' zr� z .m ��C'able-Television Service. �s <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> + <br /> School Service ws {� i' Pire Protection Servicu <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Existing Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No M Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> 1:11 PMPkLA9E February 1,1 P99 <br /> -3- <br />