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oP4�IK APPLICATION - LOT LINE ADJUSTMENT e a SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT e: < FILE NUMBER: Cq`/FOR��P PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture 17.59 Acres 2 Agriculture 14.00 Acres 3 Agriculture 13.77 Acres 4 Agriculture 46.82 Acres 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® Existing Septic System ® New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing❑ Private Storm Drainage F On-site Retention Pond(s) ❑ 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 Lammersville 1 Mile Tracy 1 Mile Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Grant Line Road 60' 28'(Estimate Yes❑ No® Yes❑ No Byron Road 60' 28' (Estimate Yes❑ No® Yes ❑ No Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NIA Yes❑ No❑ Yes❑ No❑ F:\DEVSVC\Planning Application Foms\ Page 2 of 3 Job No 2016-33 LLA 1 Lot Line Adjustment.doc.(Revised 05-11-09)