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oPq�'N APPLICATION — LOT LINE ADJUSTMENT 2` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT N; .' FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture 96.06 Acres 2 Agriculture 44.51 Acres 3 Agriculture 44.51 Acres 4 Agriculture 44.51 Acres SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Reg uired Water Feet Proposed ❑ Existing ❑ Private Water® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ Existing ❑ On-site Sewage Disposal ® Existing Septic System ❑ New Septic System ® Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Reg uired to: Ponds Existing❑ Private Storm Drainage® On-site Retention Pond(s) ❑ Natural Drainage/No Change ® 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 New Jerusalem 3 Miles Tracy 3 Miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Interstate Highway Route No. 5 Varies Varies Yes❑ No® Yes ❑ No Yes ❑ No❑ Yes ❑ No❑ Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes ❑ No❑ Yes ❑ No❑ Yes ❑ No❑ Yes ❑ No❑ F:\DEVSVC\Planning Application Forms\ Page 2 of 3 Job No 2014-185 LLA Lot Line Adjustment.doc.(Revised 6-4-04)