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APPLICATION — LOT LINE ADJUSTMENT ..o e� y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT N: < FILE NUMBER: �4[iFOR�`P PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture 5.00 Acres 2 Agriculture 31.73 Acres 3 Agriculture 31.46 Acres 4 Agriculture 80.00 Acres SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed❑ Existin ❑ Private Water® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance t- Public Disposal Service Provider Requii Sewer Facillty Proposed❑ 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❑ Private Storm Drainage® On-site Retention Pond s) ❑ Natural Drainage/No Change ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E I Existing AT&T Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Lammersville 1 Mile Tracy 1 Mile Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Grant Line Road 60' 28'(Estimate Yes❑ No® Yes❑ No Von Sosten Road 60' 28'(Estimate Yes ❑ No® Yes❑ No Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NIA Yes❑ No❑ Yes ❑ No❑ F:\DEVSVC\Planning Application Forms\ Page 2 of 3 Job No 2016-33 LLA 2 Lot Line Adjustment.doc.(Revised 05-11-09)