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6..-APPLICATION LOT\L <br /> - �E ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> i <br /> 'PROPOSED PARCELS <br /> Parcel Number Existing Square Proposed Square <br /> Existin or P sed Use of Parcel Footage or Acreage Footage or Acreage <br /> +pp <br /> C7 <br /> sin'IMPROVEMENTS-AND.$FRY[C!r$' <br /> Water <br /> :Public Water Service Provider Annex-Formation Distance to Public <br /> er❑ R uired Water Feetn <br /> Private Water <br /> Existing Wel! New Well ❑ Well Replacement ❑ <br /> $ewaBe'Disposal <br /> Public Sewage Annex-Formation.. Distance to Public i <br /> Proposed❑ Service Provider Required Sewer Facility <br /> E <br /> Ecistin <br /> On-site Sewage <br /> don Dis saf Existing Septic Pystern New Septic System <br /> Other ❑ <br /> a y e a )r t c ? <br /> St Orin Malnags�`. da h x i< <br /> Public Storm >. <br /> o� . .. _. <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Re ulrocf to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Draina a On-site Retention Pond s Natural Draina e/No Chane Other <br /> - - > �� r"`J :.1 F n �-• `F .,d f •.t°"s-Y6Isphone38r111C� _ - <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> t.Z _ 57 <br /> School Service FIre'Protectlon Service N <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> f <br /> / <br /> Exlstln- 'Roads:.:`s <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> _Z4L 1 Yes❑ No Yes❑ No <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❑ No❑ <br /> F:wevsvcwrmins rppjcauw,Fonns1 Page 4 of 7 <br /> Ld une Ad)WWMWit.doa.(RrAW 8.4-04) <br />