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DocuSign Envelope ID:66FE80DA-AC90-4DDE-ADOA-31 B0984FOA9D <br /> ArrLIUA 'ION - LOT LINE ADJUSTMENT <br /> IP <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1 64.3 AC 77.2 AC <br /> 2 30.9 AC 18.0 AC <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-FormationDistance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existing❑ <br /> Private Water® Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facilit <br /> Proposed❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal® F77Existin Septic System ® New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage❑ On-site Retention Pond s ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P.G.&E. Adjacent AT&T Adjacent <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> New Hope 0.50 Miles Thornton 0.25 Miles <br /> Existing Roads <br /> RoadlStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Nowell Road 60' 24' Yes ❑ No® Yes [I No <br /> Kile Road 60' 24Yes ❑ No® Yes❑ No <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes r-1 No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F'.MEvsvmPlannin9 Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment doc.(Revised 05-11-09) <br />