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P4� N APPLICATION - LOT LINE ADJUSTMENT YO. .CQ �y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT Q: :a FILE NUMBER: CqL%F'OR�`P PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Residential 11,968 sf 19,739 sf 2 Residential 17,094 sf 9,324 sf SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Reguired Water Feet Proposed ❑ Linden Community Water District Adjacent Existing FPrivate Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ Linden Community Water District Existing On-site Sewage Disposal❑ Existing Septic System ❑ New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing ® CSA 24 Private Storm Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ❑ OtherIll 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 Linden Unified School Dist. 0.5 miles Linden-Peters 0.5 Miles Existing Roads Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks Giovanni Ct. 50' 36' Yes ® No ❑ Yes ® No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Proposed Roads Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks N/A Yes ❑ No❑ Yes ❑ No ❑ Yes ❑ No❑ I Yes ❑ No ❑ F\DEVSVC\Planning Application Forms\ Page 4 of 7 Lot Line Adjustment.doc (Revised 05-11-09)