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APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT ::::::::::::. w.,.. r..:::: ..a�POS:En.: s.....:..:.::::.:.:: :::::... . ...................................... Parcel Number Existing or Proposed Use of Parcel Existing Proposed Square Footage Square Footage or Acreage or Acreage lsiv`ZE q 0,00 A•C, •OCA SO. A -7(o.9 0 Ate , ►0 A-L " *7 4-40 4C, 45. 00 ...................................y,:{::::?f.•:::�.::.::.::.:::::::.,.::.:f::::::.:::::::::•:::}:<::::::;:::::::::::::::::.�:::::.�:::.::�:::::.:ka...::SGC.r'y.!�:::::..�:::::.�:::.�:.�::::::::::.:�::.::::.�::::::::::.:�:::::::::::::::::.�:... Y: .. of iii}:::,••,:,•:5:::`r':::.'•:::;}}•;}:;}::?:;r::::•}::�:}r;::;:•:;;::5;::}}•;{:;.}x•::::}:•}}:?•rr};{{r.; ................:.::,.::::::::: ...,:::::::: ................v......... ...........n..n........................ .{...v....n....vvv::.:v:::.xv, ..�::::::::::::::•:::::::::::::::::::.:r:•:::::::::::::v:::.:v::::::::::::::�:::..:::.::::::::::.:::::::::.�::::i::::': :.::::::.::..:..,,..,.....,,.........r..........:..:.,.::}:.,.:::........1�rf.4 .....................................:.:.................................,.. ... Service Provider Annex-Formation Distance to Public Public Water❑ Required Water (Feet) Private Water Existing Well New Well ❑. Well Replacement ❑ .................:....................... M.........r././en r:.v.r xlfi r}..r}../..?..n•.::....rr.., v ....:v:....... ...... ....................................... ...........................:::�::::.�'.:.......:...............:..:. ................................................$......... ...,'......r$.... ......f.......v.�w:v::v::::• O'y........:::.::::w::::;:...........................::::•y}:•}:?}'::::.v::::{.}i:v:::•:::i`}}}::?v:::}}:4}:L;:.�::::: .............................. Public Sewage Service Provider Annex-Formation Distance to Public Disposal ❑ Required Sewer Facility On-site Sewa a Existing Septic System New Septic System ❑ Other ❑ Disposal : r>::>:::: ::<:<:<;:::>Y ;:<::::::::>} Storrtir:::>ar.�iirti Public Storm Service Provider Annex-Formation Terminal Drainage Detention- Drainage ❑ Required to: Retention Ponds Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ Drainage Service Provider Distance to Service Service Provider Distance to Service PC�`C ON �I ?6— } <'<:'•.:>�.::::�<::::; >::»::::>:::;>:CAbIT,a(eylslonSen!lce ; Service Provider IDistance to Service Service Provider Distance to Service N .:. .. .::. .::::::::v::......v:. .............,....:.:,{.::::}::.:::..:.............,.............:..:......:::.:::::.�<::::.:.:,•.,::.::.�::::..... ...:.�:::::::::::.................:.;::::�'irervi.ce..:::::...:::.:.....:.�::.::.....::.... : Service Provider Distance to Elem Service Provider Distance to Fire School Station XXX ::. r:� :o:h::•i:•iii::?^: .�.. .. :::::r.v::..ti^:^:•::::�r}:. •... r .... t'v, {. ., ;„ '.:v}:?.;:::+;,:ry,.;... .................................:::•:}::.v:.v:::.,...v.;.......,.. v P{•rvwr.v:r.v:.v::.•.v::•}'tiv:::::::::::?•C�.�.�j'��t /�..n,� {::::•::.�.�:.�::::::.::is ii::i:}:::{{:?.i:::::::•::::........................................................... Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks /I �j'L Yes[I 'No Yes❑ No CA" a—D I Yes❑ No❑ Yes❑ No❑ Pr. s Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NO 0 EF Yes ❑ No ❑ Yes ❑ No❑ Yes 0 No 0 Yes 0 No ❑