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ora � Ak. PLICATION — LOT Lfi.&:. ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 0. <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> i 1 Agricultural 2.55 AC 2.26 AC <br /> i 2 Rural Residential 1 AC 1.29 AC <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Re uired Water Feet <br /> Proposed❑ NA <br /> i <br /> Existing❑ <br /> Private Water® Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ NIA <br /> Existing ❑ <br /> On-site Sewage <br /> Disposal® Existing Se tic System ® New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing❑ N/A <br /> Private Storm <br /> Drainage® On-site Retention Ponds ❑ Natural Drains a/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 1 Mile Waterloo—Morada 3 Miles <br /> Existina Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Snyder Lane 50' 24' Yes❑ No® Yes❑ No ED <br /> Yes❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> NIA Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:%DEVSWNPIanning Application Forms% Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 05-11-09) <br /> 1 <br />