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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 <br /> Footage or Acreage Footage or Acreage <br /> 1 Agriculture 40.00 Ac. Gross <br /> 2 Agriculture 40.00 Ac. Gross <br /> 3 Agriculture 40.00 Ac. Gross <br /> 4 Agriculture 360.87 Ac. Gross <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water(Feet) <br /> Proposed ❑ <br /> Existing ❑ <br /> Private Water❑ Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Faciiit <br /> Proposed ❑ <br /> Existin ❑ <br /> [70n-site Sewage <br /> is osal ® Existing Septic System ❑ New Septic System ® 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 Z L On-site Retention Ponds ❑ 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 Flem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Linden Unified 6 Miles Linden-Peters 6 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Frazier Road 40' 20' (Estimated Yes ❑ No Z Yes ❑ No <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> NIA Yes ❑ No ❑ Yes ❑ No ❑ <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> F%DEVSVC!Planning Application Forms'. Page 2 of 3 Job No 2011-160 Lot Line Adjustment <br /> I_ct Line Adtustment.doc.{Revised 6-4-04) <br />