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a <br /> APPLICATION - LUT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> : . <br /> OP.OSE PARCELS.:: <br /> Parcel Number Existing or Proposed Use of ParcelExisting . Proposed <br /> Square Footage Square Footage or <br /> or Acreage Acreage <br /> _......SITE.IMPROVEKR>11CFS:aND:SERYICSS..:.: A <br /> x <br /> „ . <br /> f , Water..., <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing 13 <br /> Proposed❑ R uired Water Feet <br /> Private Water Exisdn Well New Well ❑ Well Replacement❑ <br /> :.->.:.*..t., <br /> 'Public Sewage Service Provider Annex-Formatkm Distance to Public <br /> Disposal <br /> Existing p Required Sewer Facility <br /> Proposed a <br /> IEOn-site Sewage Existing Septic System 7p New Septic System ❑ Other ❑ <br /> Disoosa <br /> :.. 5 <br /> .:< --;,•StOn1lDralna .. .;,;., . <br /> .,. ....; <br /> Public Storm Service Provider -- Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing❑ <br /> Proposed❑ <br /> I <br /> Private Storm On-site Retention Pond{sl ¢ Natural Drainage/No Change Other Q <br /> Draina e❑ <br /> Eiectrii :NBturat.t3as>.. <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Tele hone:Servtce ; .. <br /> on:Servfce <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> gallMONs <br /> $chool'Sennce ':: Fire.Proteetlon:Secvice <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> / School Station <br /> :'..:Exist ln4,RCadsi,:..<,. <br /> Road/Street Name - R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> tpC246C Yes O No Yes❑ NoX <br /> r <br /> Yes❑ No❑ Yes❑ No p <br /> i?ca tted:RoadA::' h <br /> Road/Street Name R.O.W.Width"'r' -�Pavement Width -CurtgGutter Sidewalks <br /> Yes❑ No❑ Yes a No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> d <br /> ;i <br /> -3- <br />