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APPLICATION - LOT LINE ADJUSTMENT ti SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proosed Use of Parcel Foota a or Acrea a Foota a or Acreage 1 Agriculture wlResidence 10.00 acres 2 Agriculture 10.00 acres 3 Agriculture 10.00 acres 4 Agriculture 202.07 acres SITE IMPROVEMENTS AND SERVICES Water Public Water Service Provider Annex-Formation Distance to Public Proposed❑ —Required Water Feet Existing ❑ Private Water E Existinq Well E New Well Well Replacement,,❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ Existin On-site Sewage Disposal® Existing Septic System ® New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ Re uired to: Ponds Existing ❑ Private Storm Draina e® 1 On-site Retention Pond s ❑ Natural Drainage/No Chane ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E Existing AT&T Existing School Service Fire Protection Service Distance to Eleni Service Provider School Service Provider Distance to Fire Station Galt Joint Union 7.5 Miles Unprotected eAlsting Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Liberty Road 60' 26'(estimate) Yes❑ No E Yes❑ No E Yes❑ No E 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❑ 17:IDEVSVC1Planning Application Fonnsl Page 2 of 3 Job No 2010-219 LLA.doc Lot Line Adjustment.doc.(Revised 6-4-04)