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• opquty. <br /> 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 Footage or Acreage Footage orAcreage <br /> 1 Agriculture 2.11 Ac.Gross <br /> 2 Agriculture w/Residence 17.92 Ac.Gross <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Re uired I Water Feet <br /> Proposed ❑ <br /> Existin ❑ <br /> Private Water® Existing Well ® New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed ❑ <br /> _-Existing ❑ <br /> On-site Sewage <br /> Disposal ® Existing Septic System ® New Se tic S stem ❑ 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 /> Existing ❑ <br /> Private Storm <br /> Drainage® On-site Retention Pond s ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Existing AT&T Existing <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Tracy Unified 4 mi Tracy 4 mi <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Bethany Road 40' 25' (Estimate) Yes ❑ No ® Yes ❑ No <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes ❑ No❑ Yes ❑ No ❑ <br /> Yes ❑ No ❑ Yes❑ No❑ <br /> FADEVSMPlanning Application Forms\ Page 2 of 3 Job No 2018-69 LLA <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br />