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ate° ..oma APPLICATION - LOT LINE ADJUSTMENT = SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT w � �9. FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture with residences 12.97 acres 2 Agriculture 12.97 acres 3 Agriculture 12.93 acres 4 Agriculture with residences 46.16 acres SITE IMPROVEMENTS AND SERVICES Water EPubc,wLte'rService Provider Annex-Formation Required Distance to Public Water(Feet) ting Private Water X Existing Well X New Well X Well Replacement .... Sewage Disposal... .. Public Sewage Disposal Service Provider Annex-Formation Required Distance to Public Sewer Facility Proposed o Existing On-site Sewage Disposal X Existing Septic System X New Septic System X Other Storm Drainage Public Storm Annex Formation Drainage Service Provider(if Public) Terminal Drainage to. DetentionRetentionPonds Required Proposed Existing Private Storm Drainage n On-site Retention Pond(s) Natural Orainage,i Change X Other _Electricity Telephone Service Service Provider Distance to Service Service Provider Distance to Service PG&E existing SBC existing . . ..s. a ..:: .....:: : • ir0 peoltai Se[vke .... .... .. .::. Service Provider Distance to Service Service Provider Distance to Service Escalon Unified 3.5 miles Ripon 2.5 miles Existing Roads Road:Street Name R-D W. Width Pavement Width Curb/Gutter Sidewalks Louise Avenue 45' 26' (estimate) iYeso NOXI Yes o No X Yes n Non I Yes n No 7 Proposed Roads. .. Road/Street Name R.O.W.Width Pavement Width I Curb/Gutter Sidewalks N/A I Yes n Non Yes o No 0 Yes❑ No❑ Yes in No❑ F:DEVSVC/Planning Application Forms/ Lot Line Adjustment doc. (Revised 06-04-04) Page 2 of 3 Job No 2004-68