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oR �N. APPLICATION — LOT LINE ADJUSTMENT <br /> �.:... <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> e � <br /> FILE NUMBER. <br /> •�¢Ci i o s>'�''�P i <br />� PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existingor Proposed Use of Parcel Foota a or Acrea a Footage or Acreage <br /> qot �c�—130-I4 x snclr4 r srv�-rr �.c,I <br /> JS� r 04 <br /> C45 '� <br /> I� 4 Zo5-Iia-/s3 S J 0d.so ,�-�S WL C,,-q- e��SS <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 WaterD Existing Welles New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Dis osal Existing Septic System New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terming{Drainage Detention-Retention <br /> Proposed ❑ <br /> Required to: Ponds <br /> Existing❑ <br /> Private Storm Natural Drainage/No a/No Chane C] Other ❑ <br /> Qraina e� On-site Retention Pond(s)-&r <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> 1 r-fi Ii i 4-4c-1-v-I G OQ�J_ <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> ! r�(or.1SGQ Lc �.L7 <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 4c::,f Yes❑ No.(�]- Yes❑ NoE�- <br /> 410 � � �� Yes❑ Nom Yes❑ No m <br /> Orop'os <br /> 4RoadS . <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No ❑ Yes❑ No❑ <br /> J Yes❑ No❑ Yes❑ No❑ <br /> 7 <br /> FADEVSVCTIanning Application Formsl Page 4 of 7 <br /> Lot Line Adjustment-don.(Revised 6-4-04) <br /> I <br />