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• L , <br /> 4 <br /> APPLICATION - LOT LINE ADJUSTMENT <br /> '• ;';m ' s:: SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> �L F F Cj'R a <br /> PRt?3PE?SEp PARCELS _ -��'� _ <br /> Existing Square Proposed Square <br /> Parcel Number Exisfi Use of Parcel Footage or Acres a Foots a or Acrea e <br /> I k2 O ,# e 5 J C , 3 v`�• 0 A¢C <br /> a. 12 V IP lZ 6F-5 C_ G :Z <br /> L ORe- RA& PC7 . <br /> SIIT Itkl <br /> pRO11ElHEE�I"5 AtYb SERVICES <br /> r Water <br /> Annex-Formation Distance toPublic <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> ExistingD <br /> Private Water Existinq Well New Well ❑ Well Replacement <br /> FSewage D,spasal <br /> Public Sewage <br /> Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existing <br /> On-site Sewage <br /> Disposal Exish tic System New tic 212tern Other ❑ <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ R uired to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Drainage On-site Retention Pond s Natural Arai o Chane Other <br /> h ElecVt�tty, Telephone Servtt:e <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> V z,ont mhI 5/ 7- <br /> Distance <br /> Distance to Elem <br /> Service Provider sal Service Provider Distance to Fire Station <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> T)- d Yes❑ No IE` Yes❑ No jg <br /> Yes❑ No❑ Yes❑ No❑ <br /> Kastle <br /> Road/Street Name R.O_W.Width Pavement Width Curb/Gutter Sidewalks <br /> d Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> FADEVSVOPlanning Application Fonnsl Page 4 of 7 <br /> Lot line Adjustmerrt.doc_(Revised&4-04) <br /> 0. <br />