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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAOUIiV COUNTY <br /> COMMUNITY QEVELDPMENT Q><PARTMENT <br /> PROPOSELT PARCEC S> <br /> Parcel Number <br /> Existing or Proposed Use of Parcel d <br /> Existing Proposed <br /> Square Footage Square Footage or <br /> Fr or Acres aZOS -t Aerea e <br /> Alt F �L c s ,e2 Lao Ac,i��s ' <br /> Coe <br /> ria CiZ <br /> SITE iMPROUEM'ENTS:ANQ.$ERVICES . <br /> . . . ... Water <br /> Public Water Service Provider Existing Q Annex-Formation Distance to Public <br /> Proposed Q R uired Water Feet <br /> Private Water Existin Well <br /> New Well Q Well Re lacement Q <br /> Public Sewage Service Provider <br /> Disposal Annex-Formation Distance to Public <br /> Existing Q Required Sewer Facility <br /> Proposed 0 <br /> On-site Sewage Existing Septic System <br /> DisoosalP�. New Septic System i7 Other ❑ <br /> Storm:Qraina e> <br /> Public Storm Service Provider <br /> Drainage Annex Formation Terminal Drainage Detention <br /> E=xisting Q R uired to: Retention Ponds t <br /> Proposed❑ <br /> Private Storm On-site Retention Ponds fl <br /> Drama e Pond(s) Natural Drainage/No Change Other a <br /> - <br /> Natural Gas <br /> Service Provider Distance to Service <br /> Service Provider Distance to Service <br /> MWe <br /> Tele horse Cabe TefeviSiori Servrce....: <br /> Service Provider Distance to Service Service Provider <br /> Distance to Service <br /> NONE4 <br /> Scdtool Service .; <br /> Fire Profection Seriiice <br /> Service Provider Distance to Elem Service Provider <br /> School Distance to Fire <br /> Station <br /> 1�5C.q�mni rwt�'O �mika f �Sc./� Fi/2 <br /> ::.Exfsttn ;Roads. <br /> RoadlStree t Name R.O.W.Width Pavement Width Curb/Gutterl <br /> n 5idewagts <br /> �4pp <br /> /; CJS Yes 0 No$ Yes Q <br /> r <br /> 6?e-7_0nl Rel yo Z4/ Yes❑ No I Yes[7 No <br /> ?ro osed.Roads <br /> Road/Street Name V R.O.W.Width Pavement Width Curb/Gutteri <br /> SidewalksNONE. 111 <br /> =9---_�,�..,,�..� Yes❑ No fl Yes O No C7 <br /> Yes Q No[: Yes 0 No Q <br /> E <br /> -3- <br />