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ap°WIN r <br /> APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> Q�rkoR�' <br /> PROPOSED PARCELS'l <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1 AGRICULTURE 10.15 AC GROSS <br /> 2 AGRICULTURE 10.15 AC GROSS <br /> 3 AGRICULTURE 10.15 AC GROSS <br /> 4 AGRICULTURE 80.70 AC GROSS <br /> 51TE-1 ROVEMENTS ANDsSERVICES <br /> y,'Water _4 <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existing ❑ <br /> Private Water® Existin g Wel! <br /> ® New Well ❑ Well Replacement ❑ <br /> j Sewage Disposal, _ <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existing❑ <br /> On-site Sewage <br /> Dis osal® 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 VERIZON EXISTING <br /> School Service Fere`Protectiori Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> MANTECA UNIFIED 3.5 MI MANTECA-LATHROP 3.5 MI <br /> := r Existin ;Roads. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> MELTON ROAD 40' 24' (ESTIMATE) Yes ❑ No ® Yes❑ No <br /> � -- '-'•, —,. .., ',._.,. ... i ,: a' F' '/ M� fix• — _ <br /> Pro osed'Roads ` <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> NIA Yes❑ No❑ Yes ❑ No ❑ <br /> FADEVSVC\Planning Application Forms\ Page 2 of 3 Job No 2007-231 LLA.doc <br /> Lot Line Adjustment.doc-(Revised 6-4-04) 9TH LLA <br />