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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> t <br /> 6 P <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> NEx,st,n—Existing or Proposed Use of Parcel Footage or Acreage Foota a or Acrea e <br /> Agriculture 57.40 Acres <br /> Agriculture 48.05 Acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Service Provider R wired 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 to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drain e® On-site Retention Pond(s) ❑ Natural Drainage/No Change ® Other ❑ <br /> Electricity Telephone Service <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 /> New Jerusalem 3 Miles Tracy 3 Miles <br /> Existing 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 /> 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 /> FADEVSvmPlanning Applicawn Forms\ Page 2 of 3 Job No 2013-298 LLA <br /> Lot Line Adjustment.doc.(Revised 64-04) <br />