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N <br /> i <br /> A_ <br /> APPLICATION W LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPO5E1}PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage or <br /> or Acreage Acrea e <br /> 2 Ili 3, <br /> SITE.1MPROVEMENTS:ANQSERVICES.:` ;... <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Required Water Feet <br /> Existing Q <br /> Proposed❑ <br /> Private Water Existinq Well New Well Well Replacement Q <br /> $"ewa a FIs sal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing Q <br /> Proposed Q <br /> On-site Se a Existing Septic System New Septic System Other ❑ <br /> Disposal <br /> StdrrnDiaina e. .. <br /> Public Storm Service Provider Annex-Formation 'terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing Q <br /> Proposed Q <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Drainage C] <br /> Eleetrfct <br /> rNaturaliGas.. <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Tele "hone"Service CabteTelevislort"5ervice' <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> . .. .3choof Setvtce>' .. f=ire ProtectidnZervtce'> <br /> Service Provider Distance to Eiem Service Provider Distance to Fire <br /> School / Station <br /> sting.Reads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> �! fi Yes Q N6�91 Yes Q No <br /> Yes❑ No Yes❑ NOX <br /> -opo ". <br />'\ Road/Street Name R.O.W.Width Pavement Width Curb/Gutter _ Sidewalks-- <br /> Yes❑ No❑ Yes 0 No Cl <br /> Yes 17 No Q Yes❑ No❑ <br /> f <br />