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Pg�tti APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> c4�iFo'!'�P <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> I Agriculture 40 AC 40 AC <br /> 2 Agriculture 40 AC 40 AC <br /> 3 Agriculture 40 AC 40 AC <br /> 4 Agriculture/Residence 40 AC 40 AC <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Anne tion Distance to Public <br /> r <br /> c Water Service Provider Re uired Water Feet <br /> osed ❑tin ❑ <br /> Private Water® Existing Well ® New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> ffExistin <br /> fr-1 <br /> Annex-Formation Distance to Public <br /> Service Provider Required Sewer Facility <br /> On-site Sewage <br /> DNew Se tic S stem [I Other Elis osal ® ExistingSeptic System <br /> Storm Drainage <br /> PIrDrainaqe <br /> lic Storm <br /> rainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> posed ❑ Required to: Ponds <br /> isting❑ <br /> ate Storm <br /> ® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P.G.& E. Adjacent Frontier Adjacent <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Linden Unified School Dist. 6 Miles Linden-Peters 6 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> East Milton Road 60' 20' Yes❑ No® Yes❑ No <br /> Yes ❑ No❑ Yes ❑ No ❑ <br /> Pro osed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No❑ Ys❑ No❑ <br /> Yes ❑ No❑ Yees❑ No ❑ <br /> F:0EVSVc\Planning Application Fonns\ Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 05-11-09) <br />