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I rPPLICATION - LOT ►"SNE ADJUSTMENT . . .(t�. SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT ` FILE NUMBER: PROPOSED PARCELS, Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 AGRICULTURE WITH RESIDENCE 2.25 AC 2 AGRICULTURE 65.45 AC i SITE IMPROVEMENTSFAND:SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed❑ Existing❑ Private Water® Existing Well ® New Well ❑ Weil Re lacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed❑ Existing.❑ On-site Sewage EI .Disposal ® =Existing Septic System ® New Se tic S stem ❑ Other ❑ Storm Drainage`:-; Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing❑ Private Storm Drainage® On-site Retention Ponds ❑ Natural Drainage/No Chane ® 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 SANTA 2 MI TRACY 2 MI Existin ' Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks INTERSTATE 5 VARIES VARIES Yes ❑ No® Yes ❑ No® , MANCUSO ROAD 60' 26' (ESTIMATE) Yes ❑ No® Yes❑ No KASSON ROAD 80' 28' (ESTIMATE) Yes ❑ No® Yes❑ No Proposed Roads, RoadlStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NIA Yes❑ No ❑ Yes❑ No ❑ Yes ❑ No❑ Yes ❑ No ❑ FADEVSVMPlanning Application Forms\ Page 2 of 3 Job No 2009-100 LLA Lot Une Adjustmeni.doc.(Revised 6-4-04)