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oPa�IN. APPLICATION — LOT LINE ADJUSTMENT �.•��eat SAN JOAQUIN COUNTY COM-MUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: I PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Foota a or Acreage Footage or Acreage 1 Residence&Agriculture 10.0 */-acres 10.0+1-acres 2 Residence&Agriculture 56.8+1-acres 56.8+1-acres SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed❑ Existin ❑ Private Water Q Existing Well F.11 New Well ❑ Well Replacement ElSewage Disposal Annex-Formation Distance to Public Public Sewage Disposal Service Provider Re uired Sewer Facility Proposed❑ Existin ❑ On-site Sewage Disposal Q Existing Septic System New Septic System El Other El Storm Drainage Public Storm � Annex-Formation Terminal Drainage Detention-Retention Drainage Service Provider(if Publics Required to: Ponds Proposed El Existing ❑ Private Storm Drainage[DOn-siteRetention Ponds ElNatural Drainage/No e1No Chane ❑ Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E on-site AT&T on-site School Service Fire Protection Service Distance to Elem Distance to Fire Station Service Provider School Service Provider Galt Joint Union 3 miles Liberty Fire District 5 miles Existing Roads Road/StreetName R.O.W.Width I Pavement Width Curb/Gutter Sidewalks Jahant Road 30' 24' Yes ❑ No 0 Yes❑ No Yes ❑ No❑ Yes❑ No❑ Proposed Roads I Road1S#reet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes ❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes❑ No ❑ ROEVSMPlanning Application Forms\ Page 4 of 7 Lot Line Adjustment.doc.(Revised 6-4-04)