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oP4�l�. APPLICATION — LOT LINE ADJUSTMENT 1i SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: r 7 PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture w/Residence 1.54 acres 2 Agriculture w/Residence 1.54 acres 3 Agriculture w/Residence 1.27 acres 4 Agriculture w/Residence 4.51 acres SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existin ❑ 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 Change ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E Existing Verizon Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Manteca Unified 5 miles Manteca/Lathrop 5 mile Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks West Ripon Road 60' 24'(estimate) Yes❑ No® Yes❑ No 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:\DEVSVC\Planning Application Forms\ Page 2 of 3 Job No 2012-166 LLA.doc Lot Line Adlustment.doc.(Revised 6-4-04)