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oA4�(N. APPLICATION — LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> w: < <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acrea e <br /> 1 Agriculture 268.15 Acres <br /> 2 Agriculture 96.83 Acres <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® Existing Well ❑ New Well ® Well Replacement ❑ <br /> Sewage Disposal <br /> Public Stinewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> ExisC3 <br /> On-site Sewage <br /> Disposal® Existing Septic System ❑ New Septic System ® Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required 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 Distance to Fire Station <br /> Galt Joint Union 8.5 Miles Clements 6.5 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes ❑ No ❑ Yes ❑ No❑ <br /> Yes ❑ No ❑ I 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 /> FIDEVSVMPlanning Application Forms\ Page 2 of 3 Job No 2017-70 LLA <br /> Lot Line Adjustmemdoc.(Revised 84-04) <br />