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oP4�ty... APPLICATION — LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT N: K FILE NUMBER: C4�IFORa`� PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 023-020-08 VACANT OPEN PASTURE 14.42 AC 14.42 AC 023-020-09 VACANT OPEN PASTURE 15.78 AC 15.78 AC SITE IMPROVEMENTS AND SERVICES Water Ann tion Distance to Public Public Water Service Provider Re uired Water Feet Proposed ❑ NO WATER WELL ONSITE Existin Private Water❑ Existin Well ❑ New Well ❑ Well Replacement ❑ Sewage Disposal Pfbee Annex-Formation Distance to Public Service Provider Re uired Sewer FaciliPNO SEWER ONSITE 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 Sto in Draa e [rm I On-site Retention Ponds ❑ Natural Draina e/No Chane ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service N/A N/A School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station CLEMENTS ELEMENTARY 0.5 MILE CLEMENTS RURAL CO. FIRE 0.5 MILE Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks MEHRTEN ROAD 30 FEET 20 FEET 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:TIEVSMPlanning Applioation Forms\ Page 4 of 7 Lot Line AdjustmentAm.(Revised 05-11-09)