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PPLICATION - LOT(-,INE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 9 Agriculture with residence 5.28 ac.gross <br /> 2 Agriculture 3.04 ac. gross <br /> 3 Agriculture 2.80 ac. gross <br /> 4 Agriculture 499.97 ac.gross <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required-- Water(Feet) <br /> Proposed ❑ <br /> Existing ❑ <br /> Private Water® Existing Well ® New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Dispasal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existin ❑ <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 ❑ Pe uired 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 SBC Existing <br /> School Service Fire Protection Service <br /> Distance to Ellem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Tracy 6.5 Will Tracy 3.5 mi <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Bethany Road 40' 26' (estimate) Yes ❑ No® Yes ❑ No <br /> Lammers Road 40' 26' (estimate) Yes ❑ No® Yes❑ No <br /> San Jose Road 40' 26' (estimate) Yes ❑ No ® Yes❑ No CD <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> NIA Yes ❑ No❑ Yes❑ No ❑ <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> FIDEVSVCNPianning Application Forms\ Page 2 of 3 Job No 2005-294 LLA <br /> Lot Line Adjustmentdor (Revised 6-4-44) <br /> Y <br />