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APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT PROPOSED PARCELS` Parcel Number Existing or Proposed Use of Parcel Existing Proposed Square Footage Square Footage or orAcreage Acreage 049-120-05 Row Crop 7. 5+ 1 ) 37+ Ac 049-120-06 Row Crop & Residential 18. 1 + 049-120-24 Row Crop 19.4+ 4) 2 Ac SITE IMPROVEMENTS:AND Water Public Water Service Provider Annex-Formation Distance to Public Existing❑ Required Water(Feet) Proposed❑ Private Water Existing Wellb New Well ❑ Well Replacement ❑ Sewage:Dis sal Public Sewage Service Provider Annex-Formation Distance to Public Disposal Required Sewer Facility Existing❑ Proposed❑ On-site Sew gge Existing Septic System �1 New Septic System ❑ Other ❑ Disposal Storm Draina e _ Public Storm Service Provider Annex-Formation Terminal Drainage Detention- Drainage Required to: Retention Ponds Existing❑ Proposed❑ Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ Drainage IX n I Electricity Natural Gas Service Provider Distance to Service Service Provider Distance to Service On-Site P. G. & E. On-Site Telephone Service Cable Television Service Service Provider Distance to Service Service Provider Distance to Service Pacific Bell On-Site gone School Service Fire Protection Service Service Provider Distance to Elem Service Provider Distance to Fire School Station L.U.S. D. 2 miles Hokelumn � Rural Fire 4. 5 miles Existin Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks State Hwy 12 80' 40' Yes❑ No Ex Yes❑ NOX] Tecklenberg 40' 24' Yes No❑� Yes NoXC Proposed Roads Road/Street Name R.O.W.Width Pavement Width CurbiGutter Sidewalks Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ -3-