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-,PAIN. APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> s.. � FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acrea e <br /> 1 Agriculture 2.19 acres <br /> 2 Agriculture 48.95 acres <br /> 3 Agriculture w/Residence 38.39 acres <br /> 4 Agriculture 27.95 acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> ffEtisn <br /> Service Provider Required Water Feet <br /> Private Water N Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage 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 N Existing Septic System ® New Septic System ❑ Other ❑ <br /> Storm 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 N Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider I Service Service Provider Distance to Service <br /> PG&E I Existing Verizon Existing <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Ripon Unified 5 miles Ripon 1 mile <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Wagner Road 40' 24' (estimate) Yes❑ No N Yes❑ No N <br /> State Highway 120 50' 26' (estimate) Yes ❑ No N Yes ❑ No N <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> NIA Yes❑ No❑ Yes❑ No❑ <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> F:\DEVSVC\Planning Application Fonns\ Page 2 of 3 Job No 2012-235 LLA.doc <br /> Lot Line Adjustment.doc.(Revised 64-04) <br />