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oPai . APPLICATION — LOT LINE ADJUSTMENT Q' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT a FILE NUMBER. a�rFflR� PROPOSED PARCELS Existing Square Proposed Square i Parcel Number Existing or Proposed Use of Parcel Foota a or Acreage Footage or Acreage 1 Agriculture 1.69 ac gross 2 Agriculture 160.00 ac gross SITE IMPROVEMENTS AND SERVICES k Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existing❑ Private Water® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility 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 Draina e ® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service P.G. &E. Existing A.T. &T. Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station New Jerusalem 3 Miles Tracy 3 Miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Vernalls Road 50' 26' (Estimate) Yes ❑ No ® Yes ❑ No State Highway Route 132 Varies 35' (Estimate) Yes ❑ No® Yes❑ No Koster Road 40' 24' (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❑ RNDEVSVMPianning Application Forms% Page 2 of 3 Job No 2011-38 Lot Line Adjustment.doc Lot Line Adjustment.doc.(Revised 6-4-04)