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QU.j" APPLICATION - LOT rNE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 'p FILE NUMBER: R fIFp,Ra� "1 -, ,.,.:.: rw;.as a&�F;�t'C� .rr�'=.T 'x ..;� c„ j�, �. ,s ... ._-, � �� `� � � k, ��}��I�✓ �� Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Foota a or Acrea a Footage or Acreage 1 Agriculture w/Ag.structures and farm employee housing 40.00 Ac. 2 Agriculture 51.87 Ac. 3 Agriculture 10.00 Ac. ixq 4 Agriculture 1000 Aa h x Public Water Annex-Formation Distance to Public Service Provider Proposed Required Water Feet ❑. Existin ❑ Private Water® Existir Well ® New Well ❑ Well Replacement ❑ y. MeW eR 't IM Public Sewage _ ' I—V EAnnex-Formation Distance to Public WE Proposed ❑ Disposal Service Provider Required Sewer Facil' Existin ❑ On-site Sewage Disposal® Exlstln Septic S stem ® New Septic System ❑ Other ❑ a Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ Reauired to: Ponds Existing❑ Private Storm Drainage® On-site Retention Pond sI F1 a I a Other e ra� rain o an e Distance to Service Provider Service Service Provider Distance to Service R.G.&E. Existing A.T. &T. Existing Distance to Elem Service Provider School Service Provider Distance to Fire Station MANTECAIL.ATHROP 4 MI RIPON UNIFIED 6.5 MI RIPON 5 MI RoadlStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks i Jack Tvne Road 80' 28'(Estimate) Yes ❑ No® Yes ❑ No French Camp Road 80' 28' (Estimate) Yes❑ No® Yes❑ No aWEb Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks . N/A Yes❑ No❑ Yes❑ No❑ F:IDEVS=PIanNng Application Forms\ Page 2 of 3 Job No 2009-163 LtA.doc Lot Line Adjustment.doc.fRevised 6-4-04)