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oa APPLICATION — LOT LINE ADJUSTMENT z: r SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT Vw FILE NUMBER PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage orAcreage Footage orAcreage 249-150-38 Residence/Agriculture 3.00 acres 4.70 acres 249-150-11 Residence/Agriculture 20.00 acres 23.00 acres 249-150-41 Residence/Agriculture 1.36 acres 12.785 acres SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed❑ Existing❑ S.S.J.I.D.(Irrigation) Private Water X Existin Well X New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ Existing❑ On-site Sew,awe r�1 Dis osal IJ ExistingSeptic System� New Septic System ❑ Other ❑ Storm Drainage:. Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ Re uired to: Ponds Existing❑ Private Storm Draina e X On-site Retention Ponds Natural Draina a/No Chane ❑ Other ❑ Electricity I Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E On-Site AT&T On-Site School Service Fire Protection Service Distance to Dom Service Provider School Service Provider Distance to Fire Station E.U.S.D.-Dent Elementary 4.84 miles Escalon Fire Protection District 4.05 miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks River Road 40' 18' Yes❑ No❑Q Yes❑ No X 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 F.-OEVSMPlanning Application Forms\ Page 4 of 7 Lot Line Adjusanent.doc.(Revised 05.11-09)