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APPLICATION - LOT LINE ADJUSTMENT <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 Existing Homeshe 1 acre 1 acre <br /> 2 Orchard 24.19 acres 24.19 acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Wa[er Service Provider Required Water Feet <br /> Proposed❑ NONE no unknown <br /> Existin ❑ <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 Facili <br /> Proposed❑ no unknown <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal® Existing 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 /> Proms❑ I Required to: Ponds <br /> Existing❑ no <br /> Private Storm <br /> Drain On-site Retention Ponds ❑ Natural Drain e/No Change Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E on site AT&T on site <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> RIPON UNIFIED 3 miles ESCALON 3.2 Miles <br /> Existing Roads <br /> Road/Slreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> E River road 70 ft 33 ft Yes❑ No® Yes❑ No 99 <br /> Yes❑ No❑ Yes❑ No❑ <br /> _ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gulter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:1DEvsvcV'mnnirg F.. % Page 4 of 7 <br /> Lot Line Adjusenent.doc.(Revised 05-11-09) <br />