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I vo�QUl , APPLICATION �'- LOT L°r�lE ADJUSTMENT ._,��.co _` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT Q N: :< FILE NUMBER: PROPOSEDPAROLSz. Existing Square Proposed Square Parcel Number Existingor Proposed Use of Parcel Foota a or Acreage Footage or Acreage 1 Agriculture 43.4 AC 2 Agriculture 49.0 AC 3 Agriculture 42.0 AC l 3. } SITEaMPk0VEMENTS ANB SERViG�S y ,tel as y .:r V 4", Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existin Private Water❑ Existing Well ® New Well ❑ Well Replacement ❑ g 'y. P. Annex-Forma#ion k wa a Dis Deal Public Sewage Distance to Public- Disposal Service Provider Required Sewer Facility Proposed❑ Existin ❑ On-site Sewage Dis osal® Existing Septic-System ❑ New Septic System ® 'Other ❑ _ ter; -Storm{Drainage< - Public Storm Drainage Service Provider(4 Public) Annex-Formation Terminal'Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing❑ Private Storm Drainage❑ On-site Retention Ponds ❑ Natural Draina e/No Chane ® Othertv ❑ ".' s' $:: rt gTelephotne Service Distance to Service Provider Service Service Provider Distance to Service P.G.&E. Adjacent SBC Adjacent School Service ; y t y z tg r > Fire Protection Service I h - Distance to Elem j Service Provider School Service Provider Distance to Fire Station Linden-Peters Unified Sch. Dist. 5 Miles Linden-Peters 6 Miles ' EicMn ;Roads` _ hF Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks State Highway 26 80' 28' Yes ❑ No® Yes❑ No Yes ❑ No❑ Yes❑ No ❑ Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NIA Yes❑ No❑ Yes ❑ No❑ Yes❑ No ❑ Yes ❑ No❑ FIDEVSVC1Planning Application Formsl Page 4 of 7 Lot Line Adjustment.doc.(Revised 6-4-04)