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APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture w/Residence 2.12 Ac. Gross 2 Agriculture 2.12 Ac. Gross 3 Agriculture w/Farm Labor Residence 26.65 Ac. Gross SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existin ❑ Private Water N 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 N 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 Verizon Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Ripon Unified 2.5 Miles Ripon 3 Miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Olive Avenue 40' 24' (Estimate) Yes❑ No® Yes❑ No Yes ❑ No❑ Yes ❑ No❑ Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes ❑ No❑ Yes❑ No❑ Yes ❑ No ❑ Yes❑ No❑ F\DEVSVC'Ptanning Application Forms\ Page 2 of 3 Job No 2011-179 Lot Line Adjustment.doc Lot Line Adjustmentdoc.(Revised 6A-04)