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APPLICATION LOT LINE ADJUSTMENT .... . ..... SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: I als Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Single family residence 20 . 402 Ac. 1 . 070 Ac. 2 Single family residence & orchard 1 . 013 Ac. 20 . 345 Ac . F', ES: 0 4z Annex-Formation Distance to Public Public Water Service Provider Required Water(Feet Proposed M ) Existing El Private Water■ Existing Well New Well ❑ Well Replacement ❑ Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Faci"11 Proposed F1 Existing[:1 On-site Sewage a Disposal Existing Septic System New Septic Sstern E] Other E] A6 Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed M Required to: Ponds Existing❑ Private Storm Drainage On-site Retention Pond l s) ❑ Natural Drainage/No Change Other E] ft �i '.4. 1 4 & WK: A" IV "y Distance to Service Provider Service Service Provider Distance to Service P .G. & E. onsite A.T. &T. onsite opAs Distance to Elem Service Provider School Service Provider Distance to Fire Station Linden Unified 2 miles Waterloo—Morada FD 3 miles v 6 Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Leonardini Road 401 -451 221 Yes D No 0 Yes 0 No Yes E] No[:] Yes El No El uia RoadiStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes E] No El Yes(] No[] Yes El No El Yes E] No Qj FAIDEVSMPlanning Application Formsk Page 4 of 7 Lot Line Adjustment.doc.(Revised 6-4-04)