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r APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT \•, FILE NUMBER: L!FERN/ ;PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Foots e or Acreage Footacle or Acreage 18712022 Fire House 1854Q_SF 18712024 Vacant 43791 SF 18712002 Vacant 28284 SF 18712003 Vacant 115754 SF ITE IMPROVEMENTS AND SERVICES Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existin ® Farmington Water Co. Adjacent 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❑ Existing Septic System ® New Septic System ❑ Other ❑ :Storm 17rarnage Public Storm , " Drainage Service Provider(if Public) Annex Formation Terminal Drainage detention Retention Required to: Ponds Proposed El Existing ❑ Private Storm Drainage ❑ On-site Retention Ponds ❑ Natural Drainse1No Chane ® Other ❑ Elecriclty Telephone Service Distance to Service Provider Service Service Provider Distance to Service P.G.&E. Adjacent SBC Adjacent School$ervlce°' Fire Protection Service ;. Distance to Elem Service Provider School Service Provider Distance to Fire Station I Escalon Unified 5 Miles Farmington Fire De t. On—site ."'Eyisting Roads Road/Street Name R.O.W.Width Pavement Width CurblGutter Sidewalks i State Hwy Rte. 4 80' 35' Yes❑ No 91 Yes ❑ No Escalon Bellota Rd. 60' 35' Yes ❑ No ® Yes❑ No i Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes ❑ No ❑ Yes❑ No ❑ Yes ❑ No El E] No❑ F:\DEVSVG\PIanning Application Forms\ Page 4 of 7 Lot Line Adjustment.doc.(Revised 6-4-04) I i 1