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A4 7 APPLICATION — LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> lit -i i7 <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreaq <br /> /If Ar <br /> ,lit <br /> Wi <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water(Feet) <br /> Proposed 17 <br /> Existing'R <br /> Private Water El Existin Well New Well El Well Rt placement <br /> `110 Rim, <br /> 411 <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existing 0 <br /> On-site Sewage <br /> Disposal Existing Se tic Satern A New Septic System 0 Other El <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed El Required to: Ponds <br /> Existing El <br /> Private Storm <br /> Drainage 17 On-site Retention Ponds Natural Draina qe/No Chane Other <br /> Cis <br /> 7W 711' WE HIM Ml ,Iligloi1i <br /> Distance to <br /> Service Provider Service Service Provider Distance 2 S 2 Le <br /> P Z: Z: <br /> A wvinuii <br /> Ice <br /> Distance to Elam <br /> Service Provider School Service Provider Distance to i :re Station <br /> y9r ogi lag 9,./r,2 r, V 5 <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 7-1201-17 L01y A,'o Q var. Yes[I No El Yes [_1 No[I <br /> Yes[I No[I Yes Ej No El <br /> Road/StreetName R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes 0 No[I Yes El No Ej <br /> El <br /> Yes No 1-1 Yes 71 No El <br /> j <br /> F:0EvSVC1P1s.n1ng Application Fwns1 Page 4 of 7 <br /> Lot Line Adjustmi(Revised 06-11-09) <br />