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- a�' APPLICATION - LOT r,,NE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 'i ` `• ` FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture 3.00 acres 2 Agriculture with residence 131.00 acres SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water(Feet) Proposed ❑ Existing ❑ Private Water® ExistinR Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ Existing❑ 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 ❑ Re uired to: Ponds Existing❑ Private Storm Drainage ® On-site Retention Ponds ❑ Natural Drainage/No Change ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E Existing SBC Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Lammersville 4 miles Unprotected (estimate) Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Interstate Highway Route 580 Varies Varies Yes ❑ No® Yes ❑ No Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NIA Yes ❑ No❑ Yes❑ No ❑ Yes❑ No ❑ Yes❑ No ❑ F OEVSVMPlanning Application Forms\ Page 2 of 3 Jab No 2006-181 LLA Lot Line Adjustment.doc,(Revised 6-4-04)