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i <br /> QuIN --APPLICATION - LOT 6AE ADJUSTMENT <br /> ?, SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existinq or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existing <br /> Private WaterI Existing Well New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed❑ <br /> Existin <br /> On-site Sewa e <br /> Disposal E)dsti ng Septic SJstem New Se tic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storrs <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Drainage 1 On-site Retention Ponds Natural Drainage/No Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance toService <br /> e - 5 <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> oki On 1 ,qr-n f 1 7 <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width CurblGutter Sidewalks <br /> r Yes❑ NoA Yes❑ Na <br /> Yes❑ No❑ Yes❑ No[❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No ❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ Na❑ <br /> FADEVsvC;T%nningApplicatlon Farrel Page 4 of 7 <br /> W U-Adjust-MLdDe.(Revised 5.4.04) <br />