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f r !a 1PPLICATION - LOT('INE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT Imo• .�• , `I _ ��t .� ' FILE NUMBER: PROPOSED PARCELS Parcel Number Existing Square Proposed Square Existin or Proposed Use of Parcel Foota a or Acreage Foota a or Acrea e 1 Agriculture 5.00 acres gross 2 Agriculture 5.00 acres gross 3 Agriculture 5.00 acres gross 4 Agriculture 52.90 acres gross SITE IMPROVEMENTS AND SERVICES Water Public Water Service Provider Annex-Formation Distance to Public Proposed❑ Required Water(Feet) Existin ❑ Private Water® Existin Well ❑ New Well ® Well Re lacement ❑ Sewage Disposal. Public Sewage Disposal Service Provider Annex-Formation Distance to Public Proposed❑ Re uired Sewer Facility Existin ❑ II On-site Sewage ' -Disposal ® 1. Existing Septic System ❑ New Septic System ® Other ❑ Storm Drainage I 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 E] Natural Draina a/No Chane ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E Existing SBC existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Delta Islandi 6.5 miles Tracy 4.5 miles Existin Roads Road/Street Name R.Q.W.Width Pavement Width Curb/Gutter Sidewalks Lammers Road 40' 26' estimate Yes❑ No® Yes ❑ No Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NIA Yes❑ No❑ Yes❑ No❑ Yes ❑ No ❑ Yes ❑ No ❑ F:IDFVSVOPianning Application Forms\ Page 2 of 3 Job No 2D05-68 LLA Lot Line Adjustment.doc.(Revised 6-4-04)