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` eq ?PLICATION — LOT I`'ME ADJUSTMENT <br /> SAN JOAQUK COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> \r�aae� <br /> Ri­ <br /> s PROP05ED J?i4R LS <br /> Parcel NumberExisting Square Proposed Square <br /> Existingor Proposed Use of Parcel Foota e or Acrea e Foota e or Acrea e <br /> 1 Existing residence <br /> 2.00 acres net <br /> 2 Existing residence <br /> 2.00 acres net <br /> 3 Existing almond orchard <br /> 21.53 acres net <br /> : <br /> 77"1 <br /> 7. <br /> S1E#MPfiO�/EMENTS_ANl]Sf~RViGES ' <br /> 3 <br /> Public Water Service Provider Annex Formation Distance to Public <br /> Proposed ❑ Re uired Water Feet <br /> Existin ❑ <br /> Private Water® Existi 1 Well ® New Well ❑ Well Replacement ❑ <br /> W <br /> ` ri =€&e►n►age <br /> Public Sewage <br /> Disposal Service Provider Annex-Formation Distance to Public <br /> Proposed ❑ Required Sewer Facilit <br /> Existing ❑ <br /> On-site Sewage <br /> Dis osal ® Existing Septic S stem ® New Se tic S stem <br /> El Other <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Re uired to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Draina e® On-site Retention Pond s ❑ Natural Drain a e/No Chane ® Other ❑ <br /> ctriclty ` <br /> Ele 4 �- <br /> _ � �T�le h er►rice�° <br /> Distance to - <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Existing Verizon Existing <br /> School.Service �"s FlreProtectlon Service p <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Manteca Unified 1.5 miles Manteca/Lathrop 1.5 miles <br /> .EK15tin 'Rad' <br /> s > ..,.,..,... <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Northland Road 40 feet 24 feet± Yes ❑ No® Yes ❑ No <br /> estimate <br /> ¢Et) <br /> s a� <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gut#er Sidewalks <br /> NSA Yes❑ No❑ Yes ❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> PkDEvsvClPlanning Application Forms\ Page 2 of 3 <br /> Lot Line Adjustment-doc.(Revised 6-4-04) Job No 2005-167 <br /> F <br />