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a�,A!'•ly APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> x: < <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Foota a or Acreage Footage or Acreage <br /> 1 Agriculture w/Residence 3.39 Ac. <br /> 2 Agriculture 32.79 Ac. <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existing❑ <br /> Private Water® Existinq Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed ❑ <br /> Existing❑ <br /> On-site Sewage <br /> Dns osal® Existing Septic System ® New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Slorm <br /> Droposed ainage Service Provider(if Public) AnnRequired <br /> Terminal Drainage Detention-Retention <br /> Pr ❑ Re uired to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Existing AT&T Existing <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider =istance to Fire Station <br /> Lammersville 7 Mile Tracy Rural 2.5 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Grant Line Road 60' 28'(Estimate) Yes ❑ No® Yes❑ No <br /> Yes❑ No❑ Yes❑ No ❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes❑ No❑ Yes❑ No❑ <br /> Yes ❑ No❑ Yes ❑ No ❑ <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 3 Job No 2018-190 LLA <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br />