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- . .1 : APPLICATION - LOT LINE ADJUSTMENT z1 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT f: KI FILE NUMBER: .iraR: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Foota a or Acrea e 1 Agriculture w/Residence 2.00 Ac. Gross 2 Agriculture 51.31 Ac. Gross 3 Agriculture w/Residence 97.29 Ac. Gross 4 Agriculture 138.16 Ac. Gross SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public FExIstisng ublic Water Service Provider Required Water Feet ropoed ❑ ❑ Private Water® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facilit 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❑ Required to: Ponds Existing ❑ Private Storm Drainage ® On-site Retention Ponds ❑ 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 Elem Service Provider School Service Provider Distance to Fire Station Ripon Unified 5 Miles Ripon 3.5 Miles Existing Roads Road/Street Name R.O.W.Width I Pavement Width Curb/Gutter Sidewalks Louise Avenue 40' 26' (Estimate) Yes ❑ No ® Yes ❑ No French Camp Road 8o' 30' (Estimate) Yes ❑ No® Yes ❑ No Jack Tone Road 80' 28' (Estimate) Yes ❑ No® Yes ❑ No Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes❑ No ❑ Yes❑ No ❑ F:\DEVSVC\Planning Application Forms\ Page 2 of 3 Job No 2011-158 Lot Line Adjustment Lot Line Adjustmenl.doc.(Revised 6-4-04)