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a� ,N APPLICATION — LOT LINE ADJUSTMENT %?' ? SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT v: < FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Foota a or Acreage Footage or Acreage I Agriculture acres 2 Agriculture acres 3 Agriculture w/Residence acres 4 Agriculture 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 Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ Existin ❑ On-site Sewage Disposal® Existing Septic System ® New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) jAnniex-LFormation Terminal Drainage Detention-Retention Proposed ❑ 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 Existing Verizon Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Manteca Unified 5 miles Manteca/Lathrop 5 mile Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks South Manteca Road 60' 24' (estimate) 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❑ Yes ❑ No ❑ Yes ❑ No❑ F 0EVSVOPlanning Application Fonns\ Page 2 of 3 Job No 2012-259 LLA.doc Lot Line Adjustment.doc.(Revised 6-4-04)