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APPLICATION -- LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture 40.00 Ac. Gross 2 Agriculture 40.00 Ac. Gross 3 Agriculture 401.77 Ac. Gross SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water{Feet) Proposed ❑ Existing ❑ 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 ® L Existing Septic System ❑ New Septic System ® Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Dra€nage Detention-Retention Proposed ❑ Required to: Ponds Existing ❑ Private Storm Drainage ® I 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 AT&T Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Linden Unified 6 Miles Linden-Peters 6 Miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Frazier Road 40' 20' (Estimate) Yes ❑ No Z Yes ❑ No Z Proposed Roads Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks NIA Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ %IDEVSVCIPianning Application Formsl Page 2 of 3 Job No 2011-161 Lot Line Adjustment I of Line AdjUstment.doc (Revised 6-4-04)