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APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER. PROPOSED,PARCELS k Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage i Orchard 23.4 AC 23.4 AC i 2 Residence 1.5 AC 1.5 AC „0.:, 3d� ;.$a a„ ,SITE IMPRO EMENT3 AND SERVICES { ' M; t - :. YWaer r , a F Annex-Formation Distance to Public Public Water Service Provider Proposed Required Water Feet ' ❑ Existin Private Water❑ Existing Well ® New Well ❑ Well B2placement ❑ �}IS OSa a 3 pI Public Sewage Annex-Formation Distance to Public U Disposal Service Provider Re uired Sewer Facility Proposed ❑ Existing On-site Sewage Disposal ❑ Existing Septic System ® New Septic System ❑ Other ❑ s '� k9 y s 3 -E'�--ge .. 7 ”" ,.a;.I,• t _�?$.:_, ,? '.� ..€ v�tOr11t.[}ralnage-_ r€"`mk Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ —Required to: Ponds Existing ❑ Private Storm Drainage ❑ On-site Retention Pond(sj Natural Drainage/No Chane ® Other ❑ €_ (E=�b.�.° _ € - c s > a i�: z '' gttx ""�-. .... r, .�. �_ _dE�: ... S <, x Telephone Service ; . ., �. Distance to Service Provider Service Service Provider Distance to Service P.G.&E. Adjacent SBC acent a& .e„$Ghooll te_rVICe,` + . s . Fire PrOfBCtIQh"$4rvIGe .r .,;� � ' ,.,z Distance to Elem Service Provider School Service Provider Distance to Fire Station I 5 Miles Waterloo Morada 8 Miles Xkstln RoadS; Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks Pinasco Road 55' ' 24' Yes❑ No l3d Yes ❑ No Yes❑ No❑ Yes❑ No❑ ..� ` , .-Pro osed Roads .., Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ i FADEVSvMPlanning Application Formsl Page 4 of 7 j Lot LineAdiustmentAcc.(Revised 6-4-04) ;