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oP=:. APPLICATION — LOT LINE ADJUSTMENT <br /> ..a <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1 FILE NUMBER: <br /> �9QFORN\P <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footacie or Acreage <br /> 1 Orchard w/Residence 16.53 Ac.Gross <br /> 2 Orchard w/Residence 20.75 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 /> Existin ❑ <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 /> Existin ❑ <br /> On-site Sewage <br /> Disposal E 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 to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drain e® On-site Retention Ponds ® Natural Drainage/No Chane ❑ Other ❑ <br /> Electricity. Telephone Service <br /> - <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Existing AT&T Existing <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Escalon Unified 2.5 Miles Escalon 2.5 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Lemon Avenue 40'-50' 26' (Estimate) Yes ❑ No E 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 /> R\DEVS=Planning Applbation Forms\ Page 2 of 3 Job No 2012-223 Lot Line Adjustment.doc <br /> Lot Line Adjustment.doc.(Revised 05-11-09) <br />