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>� y CAPPLICATION - LOT INE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED-PARCELS <br /> Parcel Number Existing Square Proposed Square <br /> Existin or Proposed Use of Parcel Foota a or Acrea a Foota a or Acrea e <br /> 1 AGRICULTURE <br /> 2 AGRICULTURE 2.0 ac <br /> 3 AGRICULTURE 4,76 ac <br /> 40.26 ac <br /> SITE IMPROVEMENTS AND SERVICES i <br /> l <br /> i <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Proposed ❑ Re uired Water Feet <br /> Existin ❑ <br /> Private Water® Existin Well ® New Well <br /> ❑ Well Re lacement ❑ <br /> Public Sewage Sewage Disposal <br /> DisposalAnnex-Formation Distance to Public <br /> Proposed ❑ Service Provider Required <br /> Sewer Facilit <br /> Existin ❑ <br /> On-site Sewage <br /> Dis osal ® Existin Se tic S stem ® New Septic S stem ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Re uired <br /> Existing ❑ to: Ponds <br /> Private Storm <br /> Draina e® On-site Retention Pond s El Natural Drainage/No Chane ® Other <br /> Electricity Telephone Service ❑ <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E EXISTING VERIZON EXISTING <br /> School Service Fire Protection Service <br /> Service Provider . Distance to Elem <br /> School Service Provider Distance to Fire Station <br /> RIPON UNIFIED 2.5 M! RIPON <br /> 2.5 Ml <br /> Existin Roads <br /> Road/Street Name R.O.W,Width Pavement Width Curb/Gutter Sidewalks <br /> WEST RIPON ROAD 60' 28' (ESTIMATE) Yes ❑ No® Yes❑ No <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A <br /> Yes ❑ No❑ Yes No <br /> Yes ❑ No❑ <br /> as ❑ No ❑ <br /> P0rVSVC\Planning Application Forms\ Page 2 of 3 <br /> Lot Line Adjustment.doc (Revised 6-4-04) Job No 2008-36 LLA#4.doc <br />