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a�tN APPLICATION — LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> �q(IF OR�`P <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acrea e <br /> 1 Agriculture 9.07 Acres <br /> 2 Agriculture 17.16 Acres <br /> 3 Agriculture 4.48 Acres <br /> 4 Agriculture w/Residences 3.10 Acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <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 ❑ WeIIRe lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Fadi <br /> Proposed❑ <br /> Existing❑ <br /> On-site Sewage <br /> Disposal® Existing Septic 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❑ <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 AT&T Existing <br /> School Service Fire Protection Service <br /> Distance to Elam <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lammersville 1 Mile Tracy 1 Mile <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Von Sosten Road 60' 28'(Estimate Yes❑ No® Yes❑ No <br /> Byron Road 60' 28' (Estimate Yes❑ No® Yes❑ No <br /> Pro osed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes El ElYes ElNo❑ <br /> FADEVSVC\Planning Application Forms\ Page 2 of 3 Job No 2016-33 LLA 6 <br /> Lot Line Adjustment.doc.(Revised 05-11-09) <br />