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I � APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT Parcel Number Existing or Proposed Use of Parcel Existing Proposed Square Footage Square Footage or or Acreage Acreage 1 Residential 10.Q A 2 ricultu re 45.6 Ac 54.0 Ac :.SITE.IMPROVFM NTSAND;SERVIM. CES<: .. . Water:': : . i Public Water Service Provider Annex-Formation Distance to Public Existing❑ R uired Water(Feet) Proposed❑ I Private Water N Existing Well IX New Well ❑ Well Replacement ❑ :. .,.Sev+ia a Dis sal. Puhllc Sewage Service Provider Annex-Formation Distance to Public Disposal Required Sewer Facility Existing❑ Proposed❑ I On-site Sewage Existing Septic System)? New Septic System 0 Other O Disoosal IX Stortn Drairta e. Public Storm ServiceProviderAnnex-Formation Terminal Drainage Detention' Drainage Required to: Retention Ponds Existing❑ Proposed❑ Private Storm On-site Retention Pond(s) ❑ Natural DroinagelNo Change 1X Other ❑ ora—in a e ETectrrci Natusral`Ga ... Service Provider Distance to Service Service Provider Distance to Service P.G. & R. 600 ft. None ele Iione.Service :Cable:7elevision Servftie Service Provider Distance to Service Service Provider Distance to Service Pacific Bell 2.400 ft. None School Service. Ftre,Protection Setvitie:.... I Service Provider Distance to Elem Service Provider Distance to Fire Station School I Lammersville School 2.5 miles Tracy Rural Fire 3.25 miles Exisitn .Roads .. Road/Street Name R.Q.W.Width Pavement Width Curb/Gutter Sidewalks West Grant Line Road 60' 24' Yes Nodi Yes❑ No{ Yes❑ No❑ Yes❑ No❑ r Pro osed.Roads I "`�`—�'"� � Roadl5treet Name Yes❑ No 13 Yes Q No 0 R.Q.W.Width Pavement Width Curb/Gutter Sidewalks !, [ Yes O No❑ Yes Q No❑ ` �I I� I -3-