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?PLICATION - LOT L IE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> ?%gj{ry QS D i"ARCE1u�7c:°a <br /> r <br /> E <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1 Agriculture 2.30 acres <br /> 2 Agriculture 101.05 acres <br /> sly' ll ovzmF.ITS ASVD SERVICES`€€ ` €$ °` '€ >t,.,:; ,Er <br /> k #Afater <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider <br /> Proposed ❑ Required Water Feet <br /> Existing ❑ <br /> Private Water® Existing Well ❑ New Well ® Well Replacement ❑ <br /> :r p, a <br /> .OKI <br /> Public Sowage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage <br /> Dis osal® Existing Septic System ❑ New Septic S stem ® Other ❑ <br /> erE75 <br /> Public Storm <br /> Drainage Service Provider (if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Req uired to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drains e® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> ..s' EBCCI�It ,...:•r '7r .��ai.tri11gryqryau-r I,a. h'aEa. �n <br /> .• a• t qmt i:fix.x l,t P �i phgti'1B Service P <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Existing SBC Existing <br /> Sch6d Ser�rlc-ie E E € € t <br /> .. , ., .,,. .. .. P.. „an`- a P4-'' r`uan E�a.,-., E ..., 1rP.,,:1'Ofi�GIl311$eC�'1/ICarS <br /> s. <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Delta Island 4 miles Tracy 5.5 miles <br /> k" `d <br /> Y's. aty€§'V 3 r E$ <br /> •: "''> '�s _ .. `"a°EXIBfi RC d"€ € sm, a am' a ..SCe$ € [ n.,W <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Finck Road 60' 28' Yes ❑ No ® Yes ❑ No <br /> (estimate) <br /> s-r <br /> r rE', <br /> ta.lr ter., <br /> W.e _. PrC Stl €C. ; <br /> Road/Street Name RA-W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes❑ No❑ Yes ❑ No ❑ <br /> Yes ❑ No❑ Yes ❑ No ❑ <br /> F:\DEVSVC`Plannmg Appitition Forms\ Page 2 of 3 Job No 2005-09 <br /> Lot Line Adjvsiment.doc.(Revised 6-4-04) <br />