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v A l ul ... APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT a: X FILE NUMBER: PIOPOSEU PAROLS a t ie °'aid a#y . g, .S' a .... .•3--''ny' Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Foots a or Acres a Footage or Acreage 257-240-052 Agricutural 9.89 ac -4-- 57 ac 257-240-051 Rural Improved 1.41 ac 2.00 ac 257-240-041 Agricutural 11.66 ac 11.66 ac 257-240-040 Agricutural 122.64 ac 20,64 ac : Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ NIA ExistingEl Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ Public Sewage Annex-Formation Distance to Public Disposal Service Provider Regi Sewer Facilityr Proposed ❑ NIA Existing❑ On-site Sewage Disposal Existing Septic System ❑ New Septic System ❑ Other ❑ u Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ Required to: Ponds Existing❑ NIA Private Storm Drainage❑ On-site Retention Ponds ❑ Natural Drains elNo Chane ❑ Other ❑ Distance to Service Provider Service Service Provider Distance to Service Pacific Gas& Electric SBC Scho6i SBrvICe 3°� >„s €� r r E € Fire_Protection Service A }t it r 1 d I = ii FsF ;�. x :x .. ''- - a €, Distance to Elem Service Provider School Service Provider Distance to Fire Station ,. Exlstkn :Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks West Ripon Road 60' Yes❑ No❑ Yes❑ No❑ Austin Raod 60' Yes❑ No❑ Yes❑ No❑ Rrdused Roads' . Road/Street Name R.O.W.Width Pavement Width CurblGutter Sidewalks Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ FADEVSVOPlanning Application Forms% Page 4 of 7 - Lot Line Adjusiment.doe.(Revised 6-4-04)