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- .4 C) APPLICATION -- LOT LINE ADJUSTMENT SAN JOAOLIIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Pro sed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture 123 . 08 Ac 40" 18 Ac 2 Agriculture 45. 58 Ac 40. 30 Ac 3 Agriculture 152 , 62 Ac 240_ 80 Ac SITE IMPROVEMENTS AND SERVICES I Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existing❑ Private Water® ixistina Well New Well ❑ Well Re iacement ❑ ` Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed❑ 1 xistri ❑ Ort-site Sewage Disposal Existing Se tic S stem ® New Se tic System ❑ Other ❑ Storm Drainage Public Storm Annex-Formation Terminal Drainage Detention-Retention Drainage Service Provider(if Public) Re uired to: Ponds Proposed El Existing❑ Private Storm Drain e)0 On-site Retention Pond s ❑ Natural Drainage/No Chane Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E On Site AT&T I At Property School Service Fire Protection Service Distance to&em ii Service Provider SchoolService Provider Distance to Fire Station Escalon Unified 2 . 7 Mi Esc lon 4-Ki Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Craig Rd_& Stone Rd 40 ' 20 ' Yes No f] Yes[D No Jones Rd 40 ' 0 Yes❑ No EX Yes❑ No M3 Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Irrevocable Offer r ' ' Yes❑ No a Yes❑ No Yes❑ No❑ Yes❑ No❑ F0EV5VC5Pianntng Application Forms\ Page 4 of 7 Lot une Aajustment.=U.(Rev,sed 6-41341