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LUT LINE ADJUSTMENT <br /> UIN COUNTY SAN JOAQEQf <br /> PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> S � <br /> SITES{MP,ROVEMENTS AND SERVICES <br /> i ��' W ter <br /> Wrv�� Y.AS I• <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing O Required Water(Feet) <br /> Proposed O <br /> Private Water Existing Well O New Well Well Replacement O <br /> :h. 4W gd'Dlaposal <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing O <br /> Proposed O <br /> On-site <br /> Sewa a Existing Septic System O New Septic System Other O <br /> Disposal <br /> !Ii n d, $tolm'Drainage <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing O <br /> Proposed O <br /> Private Storm On-site Retention Pond(s) O Natural Drainage/No Change Other O <br /> Drainage O <br /> Electricity Natural Gas <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> Telephone Service Cable Television Service <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> School Service d tr ' Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> �Exlsting Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> i <br /> L Z Z Yes O No Yes O No <br /> Yes O No a Yes O No O <br /> It Prb�os Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes O No O Yes O No O <br /> Yes O No O Yes O No O <br /> "DEV9ER/IDARN/PLANAPP9/I,OTLINEADJAPPFORM REV 2/1/99 -3- <br />