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A10PLICATION - LOT LINE ADJUSTMENT <br /> { SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> is <br /> Parcel Number Existing Square Proposed Square <br /> Existin or Pro sed Ilse of parcel Foots a or Acrea a Foota a or Acreage <br /> - r b� a is t P 'd eh e e- 5000 401000 <br /> Pr i ea t4e esrden (o <br /> 5�0 <br /> LU SITE lMII!l§ iilIEN7S AND SI`I VICES g t ` <br /> Ex}ST- 1V h. +fJf .-4U'' i �4"X- ■�Pi� ct 1R X+`{'i .'F_ +AN+,��y, <br /> t Public Water Service Provider <br /> Annex-Formation Distance to Public <br /> Proposed❑ Ram wired Water Feet <br /> Exisfing EL <br /> Private Water ExistinjLWell New Well <br /> Well Re lacemerrt <br /> - <br /> §',?4F <br /> Public Sewage Annex-Formation Distance.to Public <br /> Proposed <br /> ! Disposal Service Provider R uired Sewer Facility <br /> � ❑ <br /> Existing <br /> On-site Sewag <br /> Dis al EE-AustungSe'Diticsystern New Se tic System ❑ Other <br /> El <br /> rM <br /> OEM <br /> a, ^ ° ?_ ,F,x" a <br /> Public Storm .. as i f {�w°w>�17z 7, :'Ktl <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ R2qulred to: <br /> Existing❑ Ponds <br /> Private Storm <br /> Drainage❑ On-site Retention Ponds ❑ { Natural Drains ellVa Chan a [a' Other ❑ <br /> �. f, ri!C r,,�.�` � ''r'� ,'�i4"a;' y�q"Q '^ 4�, r f i -i. - x ,3 ':.5::-• w,� r <br /> t.m e.<; z •'� �. r Re Sarnice y # ria w a a' <br /> Distance to <br /> Service Provider Service Servioe,Provider Distance to Service <br /> Y,'! Rr. RZt."uK'-r`yr+f (a F �t7l� yW Se ;: .^. ',3 , Ya rOteGtl4rl.SeYiri ` <br /> yire <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> 11q rriie✓ French Cghr Fr re D 3 <br /> vement Width CurtilGutter Sidewalks <br /> � fi�. Ye 2 8a 3G' Yes❑ No Yes❑ No <br /> Yes❑ No[] Yes❑ No,[I <br /> ,7 ("� y:.., 't�e,,y 'R �S �Asx 3 � `�-y'Y, t•rv, .t '- � . ^'�r,?k t �.:� �.`^-. y_ 3: <br /> __ --- '�'�,` '�. @r,. �--.'�4 b$Bd R�af�a s $�"I�,>�,.u"�� fFs' i,c�.' R'�e.ks�v,�,`�a? � �'�., t•i'�"` <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> FADEVSVmPlanning Applimlion Forms\ Page 4 of 7 <br /> Loi Line Adjustment-doe.(Revised 6-4-04) <br />