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o�s�ln APPLICATION - LOT LINE ADJUSTMENT r' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT N :[ FILE NUMBER: tl4.; ��FOR•. PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture w/Residence 5.18 Ac. Gross 2 Agriculture 4.62 Ac. Gross SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existing ❑ Private Water® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ Existing ❑ On-site Sewage Disposal® Existing Septic System ® New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing ❑ Private Storm Drainage ® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E Existing Frontier Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Linden Unified 1 Mile Eastside 2.5 Miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Bern Road 40' 16' (Estimate) Yes❑ No® Yes ❑ No Sanford Lane 30' None Yes ❑ No® Yes ❑ No Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes❑ No ❑ Yes❑ No❑ F:\DEVSVOPlanning Application Forms\ Page 2 of 3 Job No 2016-235 LLA Lot Line Adjustment.doc.(Revised 05-11-09)