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APPLICATION - LOT LINE ADJUSTMENT
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> F�gpOSC� pAf�ChS
<br /> Parcel Number Existing or Proposed Use o/Parcel Existing Proposed
<br /> Square Footage Square Footage
<br /> or Acreage or Acreage
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<br /> Public Water Service Provider Annox-Formation Distance to Public
<br /> Existing ❑ Required Water (FooQ
<br /> Proposed❑
<br /> Private Water H�N Existing Wall Now Wax Wall Replacement ❑
<br /> 9. lop Sit .
<br /> Public Sewage Service Provider Annex-Formatlon Distance to Public
<br /> Disposal Required Sower Facility
<br /> Existing❑
<br /> Proposed❑
<br /> On-silo Sewage Existing Septic System Cy Now SoPUC System D ",�th.r Cl
<br /> Disposal❑
<br /> Storm Drainnga
<br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention-
<br /> Drainage Required to: Retention Ponds
<br /> Existing❑
<br /> Proposed ❑
<br /> Private Storm On-sito Retention Pond(s) ❑ Natural Drainago/No Change Other ❑
<br /> Drainage❑
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<br /> Service Provider Distance to Service Service Provider Distance to
<br /> Service
<br /> E ��J A-c._Eu � N o ►.�
<br /> TdlePhone Sety cQ aul�TGlayl�lon SetYl .
<br /> Service Provider Distance to Service Service Provider Distance to
<br /> Service
<br /> 'PAC b cz C- E
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<br /> Service Provider Distance to Elom Sorvico Provider Distance to Fire
<br /> School Station
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<br /> �xI tlplj Readf
<br /> Road/Streot Name R.O.W. Width Pn omont Width Curb/Gutter Sidewalks
<br /> �X'[-n )IJR oND L-C:) r 'L� r Yoe❑ No Yes[I No'
<br /> i Lt—i A-f-A 5 4o Yee❑ No Yee❑ No
<br /> . . Propo :
<br /> Rood/Stroet Name R.O.W.Width Pavement Width Curb/GtMer Sidewalks
<br /> b yJ Yes❑ No❑ Yes❑ No❑
<br /> Yes❑ No❑ Yes❑ No❑
<br /> -3-
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