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Pq�)M APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> e a <br /> FILE NUMBER: <br /> 9�%FOfZN <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1 Agriculture w/Residence 4.27 Acres <br /> 2 Agriculture w/Residence 31.57 Acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> fExisting <br /> ublic Water Service Provider Required Water Feet <br /> roposed ❑ <br /> ❑ <br /> Private Water® Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Rewired Sewer Facili <br /> Proposed❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal® Existing Septic System ® New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> nEn <br /> Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Re wired 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 Verizon Existing <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Linden Unified 6 Miles Linden—Peters 6 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Shelton Road 60' 28'(Estimate) Yes ❑ No® Yes❑ No <br /> Yes❑ No❑ I 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:\DEVSVC\Planning Application Forms\ Page 2 of 3 Jab No 2015-195 LLA <br /> Lot Line Adjustment.doc.(Revised 05-11-09) <br />