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1 ``r y fI ArPLICATION - LOT LlkgE ADJUSTMENT au!H a°L�•�o SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: PROPDSED PARCELS q ' Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 239-130-01 Ag 8.75 2c. 927.88 239-130-03 Ag 616.91 ac. 65.55 239-140-05 Ag 598.400 ac. 241.83 Note: Ex. Assessor's acreage does not equal field survey SI TE.IMPROVEMENTS AND SERYICI=S i r .Water -, Annex-Formation Distance to Public Public Water Service Provider R wired Water Feet Proposed Fl Existing❑ nla nla nla Private Water® T_ Existing Well ® New Well ❑ Well Replacement ❑ „r.Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed❑ nla nla nla Existing❑ On-site Sewage Disposal® Existing Septic System ® New Septic System ❑ Other ❑ 4z �` torm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ Required to: Ponds Existing❑ nla n/a nla nla Private Storm Drainage® On-site Retention Pond s) ❑ Natural Drainage/No Change ❑ Other Electrtaitk` Te kph Distance to Service Provider Service Service Provider Distance to Service PG&E At site AT&T At site School 3erince _ r Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Banta 5±miles Tracy Rural 5±miles Existing Roads RoadlStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Lorenzen Road 50 ft. 20 ft. Yes❑ No® Yes❑ No l Yes❑ No❑ Yes❑ No❑ Proposed Roads. . Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks n1a Yes ❑ No❑ Yes❑ No❑ Yes ❑ No❑ Yes ❑ No❑ F:TEVSVC\Planning Application Forms\ Page 4 of 7 Lot Line Adjustment.doc.(Revised 6-4-04)