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,oRq ,.-IPPLICATION — LOT ;.;NE ADJUSTMENT ?-, SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT I FILE NUMBER: ..,�dticoR��p PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Foota a or Acreage Footage or Acreage 1 Agriculture with residence 2.00 acres net 2 Agriculture 21.15 acres gross SITE IMPROVEMENTS AND SERVICES' Water Annex-Formation Distance to Public Public Water Service Provider Required I 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 Facili 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❑ Require to: Ponds Existing❑ Private Storm Drainage ® On-site Retention Ponds ❑ Natural Draina e/No Chane ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E Existing SBC Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Ripon Unified 2 miles Ripon 3 miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Frederick Avenue 40-45' 28' (estimate) Yes ❑ No ® Yes❑ No (varies) Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes❑ No❑ Yes❑ No❑ Yes ❑ No❑ Yes❑ No❑ F:\DEVSVC\Planning Application Forms\ Page 2 of 3 Job No 2005-124 Lot Line Adjustment.doc.(Revised 64-04)