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APPLICATION - LOT LINE ADJUSTMENT F` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT rstii `/ FILE NUMBER; \114 q. PROPOSED PARCELS ' Existing Square Proposed Square Parcel Number Existing or Pro osed Use of Parcel Footage or Acreage Foota a or Acreage I RESIDENTIAL .44 acres 2 RESIDENTIAL .99 acres f SITE IMPROVEMENTS AND SERVICES Water Public Water Annex-Formation Distance to Public Service Provider Required Water Feet Proposed ❑ Existin SAN JOAQUIN COUNTY s Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation DESewer ce to Public Disposal Service Provider Required Facilit Proposed ❑ Existing ❑ i On-site Sewage Disposal Existing Septic System New Septic S stem ❑ Other ❑ Storm Drainage Public Storm l E Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ —Required to: Ponds Existing] SAN JOAQUIN COUNTY t Private Storm i 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 on—site SBC on—site School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station GALT SCHOOL DISTRICT 2 miles THORNTON 2 miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks PINE STREET 501res❑ No Yes❑ No Yes❑ No❑ Yes❑ No❑ Proposed Roads Road/Street Name R.O"W,Width Pavement Width Curb/Gutter Sidewalks Yes❑ No❑ Yes❑ No❑ Yes ❑ No❑ Yes❑ No❑ FADEVSVCTIanning Application ForrnO Page 4 of 7 Lot Line Adjustment.doc.(Revised 6-4-04) f