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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> V✓�L fJ tTT r0 L�l�,2� �k'.Gj+{--fay 2 • `I �Ja. <br /> ori- 170-1 v✓ >r tsi' d v Z. 4Y�n, IG}-. 48a� <br /> SITE tMPPOV tAENTS <br /> A0. <br /> $1 FtY10ES <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing ❑ Required Water (Feet) <br /> Proposed ❑ <br /> Private Water❑ Existing Well New Well ❑ Well Replacement ❑ <br /> " ' SewagA;DlaposaF ..; <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Faelllty <br /> Existing ❑ <br /> Proposed ❑ <br /> On-site Sewage Existing Septic System X New Septic System ❑ Other ❑ <br /> Disposal ❑ <br /> Storm Drainage <br /> Public Storm Service Provider Annex.Formation Terminal Drainage Detentloo- <br /> Drainage Required to: Retention Ponds <br /> Existing ❑ <br /> Proposed ❑ <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change X Other ❑ <br /> Drainage ❑ <br /> . <br /> It is <br /> 0n�bq' = NalUral:G" <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> All <br /> Telephone Service Cable Tetevlslon Service <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> School Service Flir Proledlon Service <br /> Service Provider Distance to Elam Service Provider Distance to Fire <br /> School Station <br /> fCtip>�.fioads <br /> Road/Street Name <br /> R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> x. <br /> Yes❑ No Yes❑ <br /> Yea ❑ No ❑ Yes`❑ No❑ <br /> Road/Street Name R.O.W.Width ment Widcfi Curb/Gutter Sidewalka <br /> I Yes ❑ No❑ Yes❑ No❑ <br /> IJ Yee ❑ No❑ Yes❑ No❑ <br /> -3- <br />