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p4�IN APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT •'• FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture w/Residence 1.70 Acres Gross 2 Agriculture 1.70 Acres 3 Agriculture 1.70 Acres 4 Agriculture 42.39 Acres 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 Pond(s) ❑ Natural Drainage/No Change ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E Existing AT&T Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Banta 2 Miles Tracy 2 Miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Brennan Road 69' 39' (Estimate) Yes ❑ No® Yes ❑ No El Pro osed Roads N/A Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes ❑ No❑ Yes❑ No❑ Yes ❑ No ❑ Yes ❑ No❑ FADEVSMPlanning Application Forms\ Page 2 of 3 Job No 2015-07 LLA Lot Line Adjustment.doc.(Revised 05-11-09)