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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> A <br /> FILEN UMBER: <br /> I ur, <br /> 0'111�2114 all 10, <br /> 11WIRM"I <br /> "LIM <br /> Existihq Sqivare Proposed Square <br /> Parcel Number 'Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 207-130-04 Agriculture(pasture) 157-52+/-Acres 368.29 Acres <br /> 207-130-01 Agriculture(Pasture) 320.0 Acres 112.76 Acres <br /> K—, F <br /> Annex-Formation Distance to Public <br /> Public Water 1 Service Provider <br /> Proposed El —Required Water(Feet) <br /> Existing El <br /> .Private Water.91 <br /> !Existing Well New Well ❑ Well Replacement El <br /> ifl <br /> VMS <br /> gym. fl�M <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal i Service Provider Required Sewer Facility <br /> Proposed <br /> Existinq Ej <br /> On-site Sewage <br /> Disposal Exlt&2 Sept c ystem ❑ New Septic System Other F1 <br /> ........................ 9 0 16 —71 4� -&, ­�'U �,I <br /> NbT <br /> _Rn� <br /> Pubfic:S16rrn:.-, .:` <br /> Dralni&­ 86rvidbProvider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Required to: Ponds <br /> Proposed:E) �A <br /> Existing L] I I <br /> Private Storm I <br /> Drainaqe 0 On-site Retention Ponds) D Natural Drainag /No Change 0 Other E] <br /> j <br /> P <br /> Distance to <br /> Service Provider I Service Service Provider Distance to Service <br /> Not Applicable Not Applicable <br /> .. .......�1 — <br /> 4I 3i *77,77777"M <br /> It 1 01 <br /> NOW <br /> 4i' *' _", I — _ <br /> 01 , 1., , i 11110,7 1 V�11i,'1120*iffifflft 11ASINInu"I .�� - I"�i <br /> rDistance to Elem <br /> Service Provider 1 School Service Provider Distance to Fire Station <br /> Not Applicable <br /> Not Applicable <br /> Mg H, <br /> 95_�g <br /> mw <br /> N6H !I A. <br /> MK <br /> _2 <br /> R.O.W.RoadLStreeLName Width Pavement Width Curb/Gutter Sidewalks <br /> Dodds Road 40' 25' <br /> Yes El No Z Yes El No V1 <br /> Yes El—No El Yes[I No El <br /> I %Rk <br /> 4N <br /> wi <br /> i2 <br /> 10PARK-1 <br /> Road/Street Nam e, R.O.W.Width I Pavement Width Curb/Gutter Sidewalks <br /> Not Applicable <br /> Yes El No[:] Yes 0 No F-1 <br /> Yes El No❑ Yes F] No R <br /> F!\6EVSVC\P1anninq Application Forms\ <br /> Page 4 of 7 <br /> Lot Line Adjustmert.doc,(Revised 6-4-N1 <br />