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1` P4Utfr•.,c� APPLICATION - LOT LINE ADJUSTMENT P' % SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: �rFOQ PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreacte Footage or Acreage 209-060-490-00 Single-family homes 15.11±AC 10.79±AC 209-060-500-000 Single-family homes 32.92±AC 37.24±AC SITE IMPROVEMENTS AND SERVICES water Ann tion Distance to Public Public Water Service Provider Re wired Water Feet Proposed❑ - Existin ® Mountain House Community Services District No Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ Sewage Disposal [tE tistin Annex-Formation Distance to Public Service Provider R wired Sewer FacilitV Mountain House Communit Services District No y %site Sewage is osal❑ Existing Septic System ❑ New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ I Required to: Ponds Existing® Mountain House CSD No Private Storm Drainage-E-1 On-site Retention Ponds ❑ Natural Drainage/No Chane ❑ Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service Modesto Irrigation District PG&E School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Lammersville Tracy Fire Existing Roads - Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes❑ No❑ Yes❑ No❑ Yes E] No E] Yes ElNo El Propose Roads Road/Street Name R.O.W.Width I Pavement Width Curb/Gutter Sidewalks Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ F:\DEVSVOTIanning Application Forms\ Page 4 of 7 Lot Line Adjustment.doc.(Revised 05-11-09)