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A - 'PLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ' 1 FILE NUMBER: <br /> PROPOSED PARCELS <br /> 1 Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1 Agriculture with residence 3.54 ac gross <br /> 2 Agriculture 2.25 ac gross <br /> 3 Residence 1.80 ac gross <br /> 4 Agriculture 41.74 ac gross <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> I Existin ❑ <br /> Private Water® Existing Well ® New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br />` Proposed ❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal® Existing Septic System ® New Septic 5 stem ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> E I Proposed❑ Required to: Ponds <br /> Existing ❑ } <br /> Private Storm <br /> Drainage ® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Existing SBC Existing <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Ripon Unified 3 miles Ripon 3 miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Olive Avenue 40' 26' (estimate) Yes❑ No <br /> Yes❑ No <br /> Proposed Roads <br /> i <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 /> F:IDEVSVCT1anning Application Forms\ Page 2 of 3 Job No 2007-22 LLA.doc <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br />