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APPLICATION ® LOT LINE ADJUSTMENT <br /> .s SAN.4(}A4UN EN'FY CO.4MU#4TY DEVELOPMENT DEPARTMENT <br /> FILE NUfvlBER: <br /> PROPOSED PARCELS <br /> Parcel NumberExisting Square Proposed Square Po <br /> Existin or Pro sed Use of Parcei nta a or Acreage Foota a or Acre e <br /> Wl/r; Cid i - 2-9Arc. <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Proposed❑ Required Water Feet <br /> Existin ❑ <br /> Nv 6CV4-J�A/65 h�'O LUe=1G5 <br /> Private Water Existing Well New Well ❑ Weil Replacement <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Dlstance to Public <br /> Disposal Service Provider Required Sewer FaCir <br /> Proposed❑ <br /> Existin. ❑ <br /> On-site Sewage A(4 f3ti..,JWiN6S _ <br /> Dis sal Existin Septic S stem ❑ New S tic S tem ❑ Other NG7 vG'g <br /> amt'aremage <br /> Public Storm <br /> Drainage _Service Provider Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing❑ <br /> Private Storm I <br /> Drains a❑Q On-site Retention Ponds ❑ Natural Drainage/No Chane gj Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider I Service I Service Provider Distance to Service <br /> School Service Fire Protection Service <br /> .b9tancetDOem <br /> p Service Provider School Service Provider Distance to Fire Station <br /> : ': + <br /> Existin Roads <br /> Road/StreetName R,O.W.Width PavemeMWidth Curb/Gutter Sidewalks <br /> '36 yes0 filo' . 'Yes tet# No <br /> Yes❑ No❑ Yes❑ No❑ <br /> Pro osed Roads <br /> Road/Street Name R.D.W.Width Pavement Width Curb/Gutter sidtNo <br /> Yes❑ No❑ Yes Yes❑ No❑ Yes <br /> F:0EV9VCIP1snNng Applicaffw Fortnsl Page 4 of i <br /> Ln:Line Adj.a .n tdw.(R.t d 0611-00) <br />