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APPLICATION - LOT(INE ADJUSTMENT <br /> _.]. . SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER; <br /> PROPOSED PARCE=LS <br /> I Existing Square Proposed Square <br /> Parcel Number I Existingor Proposed Use of Parcel <br /> Footage or Acrea a Foata a or Acrea e <br /> 1 AGRICULTURE 16.36 AC <br /> 2 AGRICULTURE WITH RESIDENCE 43.04 AC <br /> „1 <br /> i <br /> SITE IMPROVEMENTS AND SERVICES <br /> Y Water <br /> Public WaterAnnex-Formation Distance to Public <br /> Service Provider <br /> Proposed ElRequired Water Feet <br /> i <br /> Existing[7 ❑ # <br /> Private Water® [ Existing Well ® New Well ❑ Well Replace ent ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existing❑ <br /> On-site Sewage <br /> Disposal ® Existing Septic System ® New Septic System ❑ Other ❑ <br /> I Storm Drainage <br /> Public Storm ) <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ i Required to: Ponds <br /> Existing ❑ { <br /> Private Storm <br /> Drains e® On site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity I Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E EXISTING VERIZON EXISTING <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> MANTECA UNIFIED 1 MI LATHROP/MANTECA 2 MI <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> FRENCH CAMP ROAD 60' 28'±(EST.) Yes❑ No® Yes❑ No <br /> I <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 OEVSVOPfanning Application Forms\ Page 2 of 3 Job No 2008-123 LLA.doc <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br /> { <br />