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Qu�N: AePLICATION -- LOT LINE ADJUSTMENT
<br /> Q' 2� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> • FILE NUMBER:
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<br /> �3 �cr{
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<br /> Existing Square Proposed Square
<br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage
<br /> 1 Residence 2 Acres
<br /> 2 Agriculture 50 Acres 42 Acres
<br /> 3 Agriculture 34 Acres 40 Acres
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<br /> r 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 Re !agement ❑
<br /> zr .a.:�o--��}<.e ':us:'«t�if� -..^kix s '•rs •J7-f ,' 6r
<br /> s i j%u. i „` >-rfaE gas .. •sa i t'.',.. " : ' i' : i 'i:.3.. # ?
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<br /> Public Sewage Annex-Formation Distance to Public
<br /> Disposal Service Provider
<br /> Regi Sewer Facility
<br /> Proposed ❑
<br /> Existing
<br /> On-site Sewage
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<br /> Disposal Existing Septic System ® New Septic System ❑ Other ❑
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<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❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑
<br /> ,. .:rr.s--��t,._ ;� „s:}a� - a-®='1-x-: €n-� - a 71 �' a�- a ikC`i `5 �.- �.�,:�E; ;a�.,.r' a ..r..,?1 sn}
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<br />` Distance to
<br /> Service Provider Service Service Provider Distance to Service
<br /> P.G.&E. Adjacent AT&T Adjacent
<br /> a `a A9 .. a; ? v� � a E .:s�' �'i: �i�3 �. c.^ a �S Er �° ;a[Ez`'-ia_, iw 6 tc''c:':ah x a,i .3y 1 js
<br /> "MIA
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<br /> Distance to Elem
<br /> Service Provider School Service Provider Distance to Fire Station
<br /> Escalon Unified 4.5 Miles Farmington 5 Miles
<br /> '¢'.i !F'.e, --.tea ' a
<br /> "3` 'a° 7p.
<br /> 739 ti.;�'"s�.' ;3 ;a�..�� '�iE as Pkk.€�'�`�`�
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<br /> to a< <.<..._..:•ro.t _ _... .!�. € .. .€-,r.e
<br /> Road/Street Name R.O.W.Width Pavement Width Curb/GUtter Sidewalks
<br /> State Route 4 80, 42' Yes❑ No® Yes❑ No
<br /> Yes ❑ No❑ Yes❑ No❑
<br /> ;. s 9. � t aEin '1�, t� E€ res £ .i �� .
<br /> F =a a a"0. I 'tm.eft i'- rr;; s g�' of ' 'i'= 4,.r ^5 a .s. �r-
<br /> i ;d -..'� '[ " s. xr�..3;¢n- ^�' - I 4aS�- i ¢x 1L ...;:€..."� - .':�F.dP kit°'. t7 ,p }fir r rt��z ` E tai i£ - ,±d,,.
<br /> p ,s "zP as i '-'” i-- :a� S. 9�,. �.: s t a: # r gi" z. 9�,is-'.
<br /> wx ,r.h�: ., ., 5 �. 0 E e, s, �� .. €.. , �a, rQ O:SRBC � <__. .<.. T� 2 Y :.:. �_ .. ,, 5 .,: - a .�e;.
<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:16EVSVC1Pianning Application Forms! Page 4 of 7
<br /> Lot Line Adjustment.doc.(Revised 6.4-04)
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