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f� APPLICATION -- LOT LINE ADJUSTMENT '- SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: \.e• s. '- LPA jam•-.., ... .; � a a €: " r'-€�� 't�R��i�GcEJ ��.?a t��a< 3 v�_ at a Existing or Proposed Use of Parcel Foota a or A Parcel Number Existing Square Proposed Square crea a Foota e or Acrea e 1 Agriculture w/Residence 12.50 Ac.Gross �_. 2 Agriculture w/Residence 56.36 Ac. Gross Mfi PR3 EME[slaf S AN©SEt10E5 ,,: j _.. ti.1 !9rf Public WaterAnnex-Formation Distance to Public Pro osed E-1Sen+ice Provider Required Water Feet p Existin ❑ iE Iji Private Water® Existin eft ® New Well ❑ Well Replacement El � W4 �10 �141& tl s, .. . r.... . ; . 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 ❑ M Public Storm i Drainage Service Provider (if Public) Annex-Formation Terminal Drainage Detention-Retention 1 Proposed ❑ Required to: Ponds i Existing❑ Private Storm Draina e® On-site Retention Ponds ❑ Natural Draina e1No Chane ® Other ❑ .a , EletrlCltyt 4` r � a u r d �l ale hone Service Distance to Service Provider Service Service Provider Distance to Service PG&E Existing AT&T Existing it - S�he�I Distance to Etem service Provider Distance to Service Provider School Fire Station �r------ -Escalon Unified 'I Mile Escalon 1 Mile Y E _ Road/Street Name R.O.W.Width Pavement Width CurblGuite = ~�. r Sidewalks € Brennan Road 40' 24' (Estimate) Yes❑ No® Yes ❑ No ¢ s {.a a as otkds 'Road/street Name �..,.., � R O.W Width �Pavement-Width Curb/Gutter Sidewalks iE NIA Yes ❑ No❑ Yes ❑ No ❑ Yes❑ No❑ Yes❑ No❑ �:IDEVSVCIPianring Appfication Forms+ Page 2 of 3 Job No 2011-107 Lot tine Adjustment.doc '_n4 amine Adjustment doc.(Revised 6-4-04)