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APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 7 Agriculture w/Residence 2.43 Ac. 2 Agriculture 70.45 Ac. 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 Re lacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Require Sewer Facili Proposed ❑ Existing ❑ 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 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 SBC I Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Ripon Unified 2.5 mi Ripon 2.5 mi Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks State Highway Route No. 120 Varies Varies Yes❑ No® Yes ❑ No Jack Tone Road 80' 34'(Estimate) 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:\DEVSMI'lanning Application Forms\ Page 2 of 3 Job No 2017-87 LLA Lot Line Adjustment.doc.(Revised 6-4-04)