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�quln.. APPLICATION - LOT LINE ADJUSTMENT <br /> y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acres e <br /> "A" agricultural/residential 5.5 5.0 <br /> Des. Rem. agricultural/residential 7.0 7.5 <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❑v Existin Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facilit <br /> Proposed ❑ <br /> Existing❑ <br /> On-site Sewage <br /> Disposal❑ ExistingSeptic System ❑� New Septic system ❑ Other ❑ <br /> Storm Drainage <br /> [tE <br /> Stormnagee Provider(if Public) Annex-Formation Terminal Drainage Detention-Retentionsed ❑ Re uired to: Pondsing❑ <br /> Private Storm <br /> Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane 0 Other ❑ <br /> -Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E 0.25 mile AT&T 0.25 mile <br /> School Service Fire Protection Service <br /> Service Provider Distance to ElemSchool Service Provider Distance to Fire Station <br /> LUSD 2 miles Waterloo-Morada 2 miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width PavementWidlh Curb/Gutter Sidewalks <br /> Golfview Road 45' 22' Yes❑ No 0 Yes❑ No 0 <br /> Yes ❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes ❑ No❑ <br /> FADEVSVC\Planning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 05-11-09) <br />