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r4PPLICATION LOT"INE ADJUSTMENT <br /> y <br /> . SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER; <br /> PROPO.SE6.PARCELS <br /> i <br /> Parcel Number Existing or Proposed Use of ParcelF Eti ting oo Square <br /> Acrea Footaos o ASquare e <br /> EXISTING RESIDENCE <br /> 0.59 AC <br /> Y AGRICULTURE <br /> 3.46 AC <br /> $ITE IMPROVEMEN T5 AND SERVICES <br /> Water. <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Proposed❑ Required Water Feet <br /> Existin ❑ <br /> Private Water® Existing Well ® New Well ❑ Well Replace t ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Proposed <br /> Disposal Service Provider Re uired Sewer Faciiit <br /> ❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal® Existin Septic S stem ® New Septic S stem ❑ Other ❑ <br /> Stbrm.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 /> Draina e® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E EXISTING SBC EXISTING <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> RIPON UNIFIED 3 MI RIPON 3 MI <br /> Existin :Roads. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> OLIVE AVENUE 40' 28' (ESTIMATE) Yes❑ No® Yes❑ No <br /> Pro osed Roads <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes ❑ No ❑ Yes ❑ No ❑ <br /> Yes ❑ No ❑ Yes ❑ No❑ <br /> F:0EVSVCTlanning Application Formsl Page 2 of 3 Job No 2009-04 LLA.doc <br /> Lot bne Adjustment.doc.(Revised 6.4-p4) <br />