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a � A 'LICATION - LOT LINA ADJUSTMENT i, SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: i " PROPOSED PARCELSI Existing Square Proposed Square Parcel Number Existin or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture 58.71 ac 2 Agriculture with residence 2.96 ac i SITE IMPROVEMENTS AND SERVICES. Water :i Annex-Formation Distance to Public Public Water Service Provider Required Water(Feet) Proposed ❑ :Existin ❑ `k Private Water® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal j Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ f Existing E] On-site Sewage it Dis osal ® Existing Septic System ® New Septic System ❑ Other ❑ l Storm.Drainage it Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds i Existing ❑ I l Private Storm Drainage® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service H PG&E Existing SBC Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Ripon Unified S mi Ripon 5 mi Existing Roads i Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Austin Road 60' 28' (estimate) Yes ❑ No ® Yes❑ No i 3 Proposed Roads i. Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N!A Yes ❑ No❑ Yes ❑ No❑ Yes ❑ No❑ Yes ❑ No❑ E ` F_MEVSVOWlanning Application Forms\ Page 2 of 3 Job No 2007-92 LLA.doc Lot Line Adjustment,doc.(Revised 6-4-04) i i