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t- try. APPLICATION - LOT LINE ADJUSTMENT SAN JOAOUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT N; < t ; FILE NUMBER: 9l%FORM; PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 153-144-zf4- PEA-L_Lt;, L+,-Z--? A-C- 15.(3 1 A e- IR3 -"40-1; FALL_QlJ 2$•00 Ac. 2�.�10 AG SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed❑ Existin ❑ /UO/J Private Water❑ Existing Weff 1�3.10, New Weff ❑ Weff Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed❑ Existing❑ /l.)O ji On-site Sewage Disposal❑ Existing Septic S tem ❑ New Se tic S tem ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ 1 Required to: Ponds Existing❑ R 4 L. Private Storm Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane Other ❑ Electricity Telephone Service Distance to Service Provider I Service Service Provider Distance to Service P6,61 A-t6KNer: T Mr-4j.3 IEE School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fre Station kN't'Ric-Q, 0j(rIr= eX.36R ExistingRoads Road/StreetName R.O.W.Width Pavement Width Curb/Gutter Sidewalks AL kf 1.0 L 4\/ 0 ' 2 LF Yes❑ No Dk Yes❑ No W j M A C7 ZQ 1 Yes❑ Nog,I Yes❑ No Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes❑ No❑ Yes❑ No❑ Yes Q No Q Yes Q No Q FIDEVSVC0anning Application Forms\ Page 4 Of 7 Lot Line Adjostmen AM.(Revised 05-11-09)