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og4�ly. APPLICATION — LOT LINE ADJUSTMENT <br /> 2'. SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> �'GiFSa�'�t• <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1 Agriculture w/Residence 10.00 Ac.Gross <br /> 2 Agriculture 48.77 Ac.Gross <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> ffEstisn <br /> Service Provider Required Water Feet <br /> Private Water® Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage <br /> Disposal ® Existing Septic System ® New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Drainage® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Existing Frontier Existing <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Ripon Unified 2.0 Miles Ripon 3.0 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter SidewdNog <br /> Jack Tone Road 80' 34' (Estimate) Yes El No® Yes El <br /> Yes ❑ No El Yes El <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter I Sidewalks <br /> NIA Yes ❑ No ❑ I Yes ❑ No❑ <br /> Yes ❑ No ❑ I Yes ❑ No❑ <br /> F:\DEVSMIolanning Application Forms\ Page 2 of 3 Job No 2018-149 LLA <br /> Lot Line Adjustment.doc.(Revised 6A-04) <br />