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F, AePLICATIQN - LST LIFE ADJUSTMENT aq�l..G.y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT ct FILE NUMBER: I ce• P t'ii=ogt'� PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage r Acreage Footage or Acreage 1 Residence 27 Ac. 2 Ac. 2 Agriculture/Residential 29 Ac. 54 Ac. I SITE IMPROVEMENTS AND SERVICES 'i Water ` Annex-Formation Distance to Public Public Water Service Provider Proposed El Required Water Feet Existing❑ Private Water® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed❑ Existing❑ On-site Sewage Disposal® Existing Septic System ® New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ Required to: Ponds Existing❑ Private Storm Drainage® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service P.G. & E. Adjacent A.T.&T. Adjacent School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Linden--Unified 1 Mile Linder-Peters 1.5 Miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Wall Road 50' 24' Yes❑ No® Yes❑ No Highway 26 80' 28' Yes❑ No® Yes❑ No Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ F:IDEVSVC1Planning Application Formsl Page 4 of 7 Lot Line Adjustment.doc.{Revised 05-11-09}