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APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 1y FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture 10.00 Ac. Gross 2 Agriculture 10.00 Ac. Gross 3 Agriculture 10.00 Ac.Gross 4 Agriculture 166.60 Ac. Gross SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed❑ Existing❑ Private Water® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility 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 P.G.&E. Existing A.T.$T. Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station New Jerusalem 4 miles Tracy 4 mile Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Greenwood Road 40' 26'(Estimate) Yes❑ No® Yes ❑ No 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❑ F:\DEVSVC\Planning Application Forms\ Page 2 of 3 Job No 2014-119 LLA 1 Lot Line Adjustment.doc.(Revised 05-11-09)