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h 4 ua��f APPLICATION — LOTNE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: _F:Q.R PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acrea a Footage or Acreage 1 Agriculture 23.29 ac gross 2 Agriculture with residence 24.43 ac gross � h .SITE IMPROVEMENTS AND SERVICES Water k Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existin ❑ Private Water® Existing 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 ❑ 'h Stone Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing ❑. r Private Storm Drainage ® I On-site Retention Ponds ❑ Naturai Drainage/No Chane ® Other ❑ Electricity Telephone Service e Distance to Service Provider Service Service Provider Distance to Service y PG&E Existing SBC Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Delta Island 4.5 miles Tracy 5 miles 'k ExistingRoads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Piatti Road 40' 26' (estimate) Yes ❑ No ® Yes ❑ No I Proposed Roads' Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NIA Yes ❑ No❑ Yes ❑ No ❑ i Yes ❑ No❑ Yes ❑ No ❑ t FMEVSVCNPlanning Application Forms\ Page 2 of 3 Job No 2005-132 LLA2 Lot Line Adjustment.doc.(revised 6-4-04) � I E