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APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT XX Parcel Number Existing or Proposed Use of Parcel Existing Proposed Square Footage Square Footage �ES I —ISI T 1, 19 L In! _ 1 ' or Acreage or Acreage D• + o .S — A Ac -u R tr--: HC)I_E o 1= . 6 z4. 2 �� Cour?sF_- SITE. 1lP�iVN RNA RYIA $.... ....... Public Water Service Provider Annex-Formation Distance to Public Existing❑ Required Water (Feet) Proposed ❑ Private Water❑ Existing Well New Well ❑ Well Replacement ❑ Y1R>ig Cifspp$iiE::: Public Sewage Service Provider Annex-Formation Distance to Public Disposal Required Sewer Facility Existing ❑ Proposed ❑ On-site Sewage Existing Septic System J8j New Septic System ❑ Other ❑ Disposal ❑ stotta t)raftsage .._ Public Storm Service Provider Annex-Formation Terminal Drainage Detention- Drainage Required to: Retention Ponds Existing ❑ Proposed ❑ Private Storm On-site Retention Pond(s) Natural Drainage/No Change A Other ❑ Drainage 1~lectroty 2IaiutaE Gas Service Provider Distance to Service Service Provider Distance to Service . TerephoneServrce; X., az:>:<::<:>;. Caw Service Provider Distance to Service Service Provider Distance to Service P,6.L_l FIG TL=LEPHONI` OI-4—SITS N s� .......::.::.::::.;:.;... :.;::.:.... Service Provider Distance to Elam Service Provider Distance to Fire School Station M�rEca UNIFII=D 3 MILE-S MANTECA LA?I-WC)P )U2A L3 It�S Ex�ing,Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks R C" CA C� SO Yes❑ No K Yes❑ No Yes❑ No❑ Yes❑ No❑ _ ..... .::::::::::::......:. Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N ZA, Yes❑ No ❑ Yes ❑ No❑ Yes❑ No❑ Yes❑ No❑ t -3-