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APPLICATION - LOT LINE ADJUSTMENT <br /> y� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> �4�ikSkN P <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> Parcel 1 Agriculture 10.9 AC <br /> Parcel 2 Agriculture 632.1 AC <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Ann tion Distance to Public <br /> Public Water Service Provider Re uired Water Feet <br /> Proposed❑ <br /> Existing ❑ <br /> Private Water❑ Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Anne tion Distance to Public <br /> Disposal Service Provider Re uired Sewer Facilit <br /> Proposed ❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal ❑ Existing Septic System ® New Septic System ❑ Other ❑ <br /> Stone Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Adjacent AT&T Adjacent <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Linden Unified 5 Miles Linden-Peters 6 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Shelton Road 62' 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.\DEVSVMPlanning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustmentdoc.(Revised 05-11-09) <br />