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APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT N' FILE NUMBER. �IFOt+ PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acres e 1 Agricultural (Existing) 4 Acres 2 Acres 2 Rural Residential (Existing) 2 Acres 4 Acres 3 Agricultural (Existing) 9 Acres 9 Acres SITE IMPROVEMENTS AND SERVICES Water Ann tion Distance to Public Public Water Service Provider Re uired Water Feet Proposed ❑ Existing ❑ N/A Private Water ®_7_rXstjng Well ® New Well E] Well Re lacement El Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Re uired Sewer Facility Proposed ❑ Existing ❑ N/A On-site Sewage 7Existing ExistingSeptic System ® New Septic System ❑ Other ❑ Stone Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Required to: Ponds 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 P.G.BE, I Adjacent Verizon Adjacent School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Linden Unified 3 Miles Linden-Peters 4 Miles Existin Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks EFine Road 60' 24' Yes❑ No ® Yes E] No oad 60' 24' 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 ❑ F 0EVSVC\Planning Application Forms\ Page 4 of 7 Lot Line Adjustment doc. (Revised 05-11-09)