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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> I VJ5&o�WA-L . I.Sq PC_ Z.01 AC-. <br /> 2- I14:Col AG. 14.25 ASC. <br /> PROVEMEK. <br /> ;;::.>:><:;:.;:;.:;.:...::.;::.;:.;::;:.,.;::..:.::::::.;;:.>::.;;•::>.:.;...... N.T. <br /> ::.:: <br /> ::..;;::::::;::.>:.:>:.:>:.;::;.... ........................................ . <br /> 5. <br /> Service Provider Annex-Formation Distance to Public <br /> Public Water❑ Required Water (Feet) <br /> Private Water AL Existing Well 0, New Well ❑ Well Replacement ❑ <br /> Sawa e.:Dls gals.:: <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal ❑ Required Sewer Facility <br /> On-site Sewage Existing Septic System J( New Septic System ❑ Other ❑ <br /> Disposal <br /> .... ........ ..:. <br /> STorRt Drain <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage ❑ Required to: Retention Ponds <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change $j Other ❑ <br /> Drainage fa <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> PG-�v �, G-xtSTl►�1C� P.G. cf�. (1 . <br /> efeph' Service Gable;Television Service . <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> PAU 1✓i L BC�.I.. DISC I IJ C� �lOIJ� <br /> .;. .. <br /> Ftre:Piuiec3lan Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> MAd 1711 A 010 NAIL.' 1-�CH GWP 0.Z0 Mlle, <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> �( <br /> � <br /> ��\6 vA'CZI 3rJ Yes❑ No K Yes ❑ No d' <br /> Yes❑ No❑ Yes❑ No❑ <br /> as...::::...:............................:.:..::.::.:::::::.::::::.::::::::..::....::. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No ❑ Yes 0 No 0 <br />