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oe•4 ly. APPLICATION — LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Foote a or Acreage Footage or Acreage <br /> 2 + 40 -e c <br /> G es 2 <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> AnntionDistance to Public <br /> Public Water Service Provider Re uired Water Feet <br /> Proposed ❑ <br /> Existin <br /> Pnvate Water Existing Well 29New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Ann tion Distance to Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed ❑ <br /> Existing❑ <br /> On-site Sewage <br /> Disposal ❑ Existinu Se tic S stem ❑ New Septic System - Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Exisfing❑ <br /> Private Storm <br /> Draina e ❑ On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> /9-S/ e <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> i h/ / "t—_ /'1 e— <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> q / Z¢ Yes❑ No Yes❑ No X <br /> 0 ver, 2 Yes❑ No 19 Yes❑ No <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> F:0EVSVGT1anning Application Farms\ Page 4 of 7 <br /> Lot Line Adjusvnent.doc.(Revised 05-11-09) <br />