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r ~ <br /> °pec\ APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ' J FILE NUMBER: <br /> Oji:0,i4� t <br /> PROPOSED PARCELS <br /> i Existing Square Proposed Square <br /> FParcelber I Existin or Pra osed Use of Parcel Foota a or Acrea a Foota a orAcrea e <br /> A riculture 100 Acres <br /> A riculture 100 Acres <br /> SITE.IMPROVEMENTS AND�SERVICE <br /> � ,:Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed <br /> Existing <br /> Private Water® Existin Well ® New Well ❑ Well Replacement ❑ <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 I <br /> Dis osal® Existing Se tic S stem ® New Septic S stem ❑ Other ❑ <br /> ,Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ t Required to: Ponds <br /> Existing❑ <br /> Private Storm j <br /> Drainage❑ On-site Retention Pond s ❑ Natural Drainage/No Chane ® Other ❑ <br /> flectricity 'Telephone Service <br /> J Distance to <br /> Service Provider 1 Service Service Provider Distance to Service <br /> i <br /> P.G.&E. On—site SSC Adjacent <br /> -School Service - ',:-:FireProtection Service <br /> Distance to Elem <br /> Service Provider I School Service Provider Distance to Fire Station <br /> Escalon Unified ! 2 Miles Farmin ton Fire Dept. 2 Miles <br /> "Existin Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Buckman Rd. 40' 19' Yes❑ No® Yes ❑ No[M <br /> State Rte. 4 80' 22' Yes❑ No @ Yes ❑ No <br /> Proposed Roads <br /> Road/Street Name i R.O.W, Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:IDEVsvmPlanning Application Formsl Page 4 of 7 <br /> Lot Line Adjustment.doe.(Revised 6-4-04) <br />