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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> f FILE NUMBER <br /> PROPOSED PARCELS <br /> Existing Square -Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acrea e <br /> 1 Agriculture wlResidence 31.65 Ac. Gross <br /> 2 Agriculture wlResidence 53.99 Ac. Gross <br /> 3 Agriculture wlResidence 97.29 Ac. Gross <br /> 4 Agriculture 35.95 Ac. Gross <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water (Feet) <br /> Proposed ❑ <br /> Existin ❑ <br /> Private Water ® Existing Wel) ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage <br /> Disposal ® Existing Septic System ® New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Stone <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Drainage On-site Retention Ponds ❑ Natural Drainage/No Change ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Existing AT&T Existing <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Ripon Unified 5 Miles Ripon 3.5 Miles <br /> Existing Roads <br /> Road/Street Name R Q W Width Pavement Width Curb/Gutter Sidewalks <br /> Louise Avenue 40' 26' (Estimate) Yes ❑ No ❑ Yes ❑ No <br /> French Camp Road 80' 30' (Estimate) Yes ❑ No © Yes ❑ No E <br /> Proposed Roads <br /> Road/Street Name R.D.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> F'.E)r_VSVC\Pkanning Application Form$% Page 2 of 3 Job No 2611-157 Lot Lne Adjustment <br /> Lot Line Adjustment doc (Revised 5-4-04) <br />