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-� Lt "LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> f 4 <br /> z fps 99/0 <br /> 3 e s 89lo 10, 960 <br /> 5s Zli s 89/o 9i o z 11—l280 <br /> , ra <br /> W . <br /> Public Wter Service Provider Annex-Formation Distance to Public <br /> 'V ExisflnRequired Water(Feet) <br /> Proposed 13r'/ e <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement O <br /> s. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing <br /> Propose ❑ r e <br /> On-site Sewage Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Disposal❑ <br /> )"� 4 101 frig <br /> Public Storni Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainaa Required to: Retention Ponds <br /> Existing {' <br /> Proposed❑ J a vI 6L�zk <br /> Private Storm On-site Retention Pond(s)❑ Natural Drainagai Change ❑ Other ❑ <br /> Drainage❑ <br /> OR- <br /> Iry y f atr�ic,a► <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> y 9 r - e pl�on <br /> VIM, <br /> cb s " E Cable;refeviafon Ser+!® <br /> Service Provider Distance to Service Provider Distance to <br /> Service PP Service <br /> IbtectiOn <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> //z ��. <br /> i1�� �p' Y � <br /> b <br /> Roed/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> v O ve a if U l YeSX No 13 YesNa❑ <br /> 0 _ Z-0r Yes❑ No E3 Yes E3 No 13 <br /> Prp�� <br /> fl. <br /> Road/Street Name R.O.W. Wldih Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> 1:41 PMPk LAY!February t,1 YYY <br />