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w '. <br /> ,oX. n APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> r t <br /> FILE NUMBER: <br /> PROPOSED <br /> ,.3 <br /> Existing Square Proposed Square <br /> i Parcel Number -Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1 Agriculture 77.4 AC <br /> 2 Agriculture 63.5 AC <br /> i <br /> 3 Agriculture 36.5 AC <br /> 4 Agriculture 49.0 AC <br /> &SITE::MPROVEMENTS AiNIj SER{IIsCES w. Y s� <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existing <br /> Private Water❑ Existing Well ® New Well ❑ Well Re lacement ❑ <br /> w�4' �r �v 7 4 c t <br /> x SBWOge DISpOS81 e r r w ' sw <br /> ..,a .. , , ; .^„ ..:.. .. .-.. .: c•-» ;,:. ._ t, .,,: .< <br /> Public•Sewage Annex-Formation -�Distance to"Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal Existing Se tic S stem New'Se tic.' stem ® Other ❑ <br /> �. 4To <br /> d �... a r <br /> $tOrrll I�Calnd @ r bra �� t �, . r• <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❑ I On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> h <br /> f i a.. x•� sh,.,. �„a^ ,ry ^mos:. y •�dt `'�s,'d ,.-ia i u^"' f+'. '- <br /> -Electric#tyt � _ _ Tele^hone Se ice <br /> .i._,. '~ <br /> 3•,4. <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P.G.BE. Adjacent SBC Adjacent <br /> SChoOI-.S@rVlCB n uve a h - <br /> w k <br /> .:;Fire,Protection 5errnce -�, <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Linden-Peters Unified Sch. Dist. 5 Miles Linden-Peters 6 Miles <br /> EXi5tin "Roads` a <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> State Highway 26 80' 28' Yes❑ No® Yes❑ No <br /> Yes❑ No❑ Yes ❑ No ❑ <br /> Prak�osd.Roaiis k a Zr' <br /> .;.. �r <br /> I 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:IDEVSVC\Planning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br />