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h <br /> C. Z"i <br /> 1n. APPLICATION — LOT LINE ADJUSTMENT <br /> aSAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> < FILE NUMBER: <br /> o.N <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcei Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1 Agriculture w/Residence 2.00 Acres <br /> 2 Agriculture wlResidence 2.00 Acres <br /> 3 Agriculture 40.13 Acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> ffEtisn <br /> Service Provider R wired Water Feet <br /> Private Water® Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider R wired Sewer Facili <br /> Proposed ❑ <br /> Existing❑ <br /> On-site Sewage <br /> Disposal® Existing Septic System ® New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> ffEn <br /> Service Provider(if Public) Annex-Formation Terminal DrainageDetention-Retention <br /> R uired to: Ponds <br /> Private Storm <br /> Drainage® On-site Retention Pond(s) ❑ Natural Drainage/No Change ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Existing AT&T I Existing <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Escalon Unified 1.5 Miles Escalon 3 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Sexton Road 40' 26'(Estimate) Yes❑ No® Yes❑ No <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes ❑ No❑ <br /> F:TEVSVOPlanning Application Forms\ Page 2 of 3 Job No 2012-64_Lot_Line_Adjustment.doc <br /> LN Line Adjustment.doc.(Revised 05-11-09) <br />