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+� APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT < FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 UNDEVELOPED 10.18 ACRES 6.86 ACRES 2 UNDEVELOPED/POTENTIAL DEVELOPMENT 12.30 ACRES 15.65ACRES UNRELATED TO THIS APPLICATION SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed❑ Existin ❑ Private Water® Existing Well ❑ New Well ❑ Well Replacement Sewage Disposal Public Sewage i Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed❑ Existing ❑ On-site Sewage Disposal® Existing Se tic S stem ❑ Now Septic System ❑ Other ❑ Stone Drainage hDrail'anage torm age Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention d❑ Required to: Ponds g❑ Storm ® On-site Retention Ponds ❑ Natural Draina a/No Chane ® Other ❑Electricity Telephone Service Distance to rvice Provider Service Service Provider Distance to Service PG&E EXISTING AT&T EXISTING School Service Fire Protection Service Distance to Elem Service Provider I School Service Provider Distance to Fire Station FRENCH CAMP ELEMENTARY 0.57 MILES MONTEZUMA FIRE DISTRICT 3 MILES Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks EL DORADO STREET 100' ±67' Yes❑ No® Yes❑ No 21 FRENCH CAMP ROAD 80' ±31' Yes❑ No® Yes❑ No Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NONE PROPOSED Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ F 0EVSVC\P1annin9 Application Forms\ Page 4 of 7 Lot Line Adlustment.doc.(Revised 64-04)