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opo APPLICATION - LOT LINE ADJUSTMENT NSAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 0: FILE NUMBER: cQ�FORa�P PROPOSED PARCELS_ Existing Square Proposed Square Parce Number Existing or Pro sed use of Parcel Footage or Acreage Footage or Acreage 249-1 0-46 Residence and Orchard 12.78 Acres 6.18 Acres 249-1 0-47 Residence and Orchard 23.00 Acres 29.60 Acres SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Publit Water Service Provider Required Water(Feet) Proposed ❑ Exising ❑ Pnvate I ate,® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal PubliclSewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed❑ Existing ❑F On-sitel Sewage Dis osal ® —7— ExistingSeptic System ® New Septic System ❑ Other El Storm Drainage Public Storm Annex-FormationDetention-Retention Drainage Service Provider(if Public) Terminal Drainage Re fired to Ponds Prop sed ❑ Ex is ing F-1 Privatie Storm Drainage ® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service On-Site AT&T Existing ` { r. School Service Fire Protection Service t w , Distance to Elem Service Provider School Service Provider Distance to Fire Station Dent Ele entary, Escalon 3.9 miles Escalon Fire District 7 miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks verof 40 feet Yes El No® Yes El No El Sutliff Road 40 feet Yes ❑ No® Yes ❑ No El �rlsProposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ F:0EVSVC tinning Application Forms\ Page 4 of 7 Lot Line Adju tment.doc.(Revised 6-4-04)