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.c'PLICATION - LOT Llkzrc ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Parcel Number Existing or Proposed Use of Parcel Existing Square Proposed Square. <br /> Footage or Acreage Footage or Acreage <br /> 1 agriculture 3.16 acres <br /> 2 agriculture 3.30 acres <br /> 3 agriculture 3.30 acres <br /> 4 agriculture 1 64.92 acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water <br /> Service Provider Annex-Formation Required Distance to Public Water(Feet) <br /> Proposed❑ Existing <br /> F1 <br /> Private Water X Existing Well X New Well Well Replacement <br /> Sewage Disposal <br /> Public ewage <br /> Disposal Service Provider Annex-Formation Required Distance to Public Sewer Facility <br /> Proposed❑ Existing <br /> On-site Sewage Disposal X Existing Septic System X New Septic System L Other <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage to: Detention-Retention Ponds <br /> Proposed Li Existing <br /> Required <br /> Private Storm Drainage On-site Retention Pond(s) Natural Drainage,No Change X Other <br /> Electricity Telephone Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> PG & E existing SBC existing <br /> School Service Fire Protection Service <br /> T— <br /> i <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> Delta Island 9 miles none <br /> Existing Roads <br /> RoadiStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Roberts Road 60 feet 28 feet Yes No X Yes No X <br /> Yes.-, No Yes No <br /> Proposed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> NA Yes,-1 No Yes No <br /> Yes n, No;i Yes- No <br /> F:DEVSVC/Planning Application Forms/ <br /> Lot Line Adjustment doc. (Revised 06-04-04) Page 2 of 3 Job No 2004-150 <br />