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oto ty. APPLICATION - LOT LINE ADJUSTMENT r.' y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT a: < FILE NUMBER: �4C%F ORN`p PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture 2.04 Ac.Gross 2 Agriculture w/Residence 28.20 Ac. Gross SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed❑ Existing❑ Private Water® F_—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❑ Required 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 P.G.&E. Existing Verizon Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Lathrop/Manteca 2 miles Lathrop/Manteca 2 miles Existing Roads Road/Street Name R.O.W.Width I Pavement Width Curb/Gutter Sidewalks Prescott Road 40' 26'(Estimate) Yes❑ No® Yes❑ No Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes ❑ No❑ Propose Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes❑ No❑ Yes ElNo i F:\DEVSVOlplanning Application Forms\ Page 2 of 3 Job No 2015-173 LLA Lot Line Adjustment.doc.(Revised 05-11-09)