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.PPLICATION - LOT &NE ADJUSTMENT <br /> q' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �•r <br /> FILE NUMBER: <br /> M. P05�Q PARCEL, <br /> Parcel Number Existing Square Proposed Square <br /> Existing or Proposed Use of Parcel Foota e or Acreage Footage or Acrea e <br /> Residential 2.19 acres gross <br /> 2 Residential 3.84 acres gross <br /> SITE t[IRfkoVEEWS` N SiEF}11ES <br /> C�fater:�:� <br /> Public WaterAnnex-Formation Distance to Public <br /> Service Provider Re aired Water Feet <br /> Proposed ❑ <br /> Existin ® City of Tracy No Existing <br /> Private Water❑ Existing Well ❑ New Weil ❑ Well Replacement ❑ <br /> `Setiif#sge Disposal ' <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage <br /> Disposal ® Existing Septic System ® New Septic System ElOther ❑ <br /> S#or'm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Drainage ® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity ' elephOne Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Existing SBC Existing <br /> School:Service'. I"ire Plrotection service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Tracy Joint Union 2.5 miles Tracy 2 miles <br /> ieietin Rous <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Larch Road 60' 28' (estimate) Yes ❑ No ® Yes ❑ No <br /> Pro. . slWcf Roads - <br /> Road/Street Name R.Q.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes ❑ No ❑ Yes ❑ No❑ <br /> Yes [I No ❑ —Yes ❑ No ❑ <br /> F:',DFVSVCIplannirig Application Formsl Page 2 of 3 Job No 2005-147 <br /> Lot Line Adjustmenl doc.(Revised 6-4-04) <br />