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t r <br /> Q�=N <br /> APPLICATION�a....�.. .�.o — <br /> LOT LINE ADJUSTMENT <br /> .1... SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> C'�C O�RN;P <br /> s„ -PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acrea a Footage or Acreage <br /> i 1 Vineyard 4 Acres 4 Acres <br /> 2 Vineyard 32 Acres 32 Acres <br /> SITE IMPROVEMENTS AhtD SERVICES .; <br /> k <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required. Water Feet <br /> Proposed ❑ <br /> Existin ❑ <br /> Private Water® Existing Well ® New Well ❑ Well Replacement ❑ <br /> -;Swage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal ® Existing Septic System ❑ New Se tic System ❑ Other ❑ <br /> Storm:1Dramag'e <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required red <br /> to: <br /> 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 /> li <br /> P. G. & E. Adjacent A.T. &T. Adjacent <br /> School Service <br /> ,Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Linden Unified 10 Miles Collegville 4 Miles <br /> EzIstm :Roads <br /> R <br /> oed/Street Name <br /> R.O.W. <br /> .Width P <br /> avement Width <br /> .,Curb/Gutter <br /> Sidewalks <br /> Jack Tone Road 80' 26' Yes ❑ No ® Yes ❑ No <br /> State Highway 4 80' 32' Yes ❑ No ® Yes❑ No <br /> Rio oser#,Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes ❑ No❑ <br /> Yes ❑ No ❑ Yes❑ No ❑ <br /> FADEVSVCIPlanning Application Forms% Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br /> k <br />