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at:4m)y. APPLICATION — LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> w: twit a < <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acrea a Footage or Acreage <br /> 1 Agriculture w/Residence 6.65 Acres <br /> 2 Agriculture 2.97 Acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> ffEisn <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 t0: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Drainage ® On-site Retention PondsI Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider I Service Service Provider Distance to Service <br /> PG&E Existing SBC Existing <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Tracy Unified 2 mi Tracy Rural 2 mi <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Lehman Road 60' 30' (Estimate) Yes❑ No® Yes ❑ No <br /> Ahern Road 120' Varies Yes ❑ No ® Yes ❑ No <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes ❑ No ❑ Yes ❑ No❑ <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> F:\DEVSMPlanning Application Forms\ Page 2 of 3 Job No 2017-227 LLA <br /> Lot Line Adjustment.doc.(Revised 64-04) <br />