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,oPa.i`�o APPLICATION - LOT LINE ADJUSTMENT �y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT IN < 1, FILE NUMBER: �9�iFo'M1`'�P PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Residence 7.20 AC 1.10 AC Unsurveyed Remainder Agriculture N/A 6.1 SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existing Private Water ❑ Existing Well ® New Well ❑ Well Re lacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Re uired Sewer Facili Proposed ❑ Existin On-site Sewage Disposal ❑ Existing Septic System ® New Septic System ❑ Other ❑ Stone Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ I Required to: Ponds Existing❑ Private Storm Drainage® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other E] Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service P.G.&E. Adjacent Verizon Adjacent School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Escalon Unified Adjacent Farmington 0.25 Miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks State Route 4 70' 44' Yes❑ No® Yes❑ No Yes❑ No❑ Yes❑ No❑ Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/ utter Sidewalks N/A Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ F.0EVSMPlanning Application Forms\ Page 4 of 7 Lot Line Aojustment.cim.(Revised 05-11-09)