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c,a, t APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existingor Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Grazing land 94 acres 94 acres 2 Grazing land 74 acres 74 acres 3 Grazing land 320 acres 320 acres 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 Re lacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facilitv 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 Ponds ❑ Natural Drainage/No Chane ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E. Adjacent SBC Adjacent School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Linden Unified School District 9 Miles Clements Rural 10 Miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Ospital Road 40' 25' Yes ❑ No ® Yes ❑ No Yes❑ No ❑ I Yes ❑ No ❑ Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes ❑ No❑ Yes ❑ No❑ Yes ❑ No ❑ Yes❑ No❑ FIDEVSMPlanning Application Fomrs\ Page 4 of 7 Lot Line Adjustment.doc.(Revised 05-11-09)