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APPLICATION -- LOT` INE ADJUSTMENT'' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT;; f r :z<) FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square . Parcel Number Existin or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 AGRICULTURE WITH RESIDENCE 3.90 AC 2 AGRICULTURE 1.70 AC 3 AGRICULTURE 2.14 AC GROSS 4 AGRICULTURE T122.99 AC GROSS SITE>IMPRIOVEMENTS AND SERVICES Water I' Annex-Formation Distance to Public, Public Water Service Provider Required Water(Feet) Proposed❑ Existing❑ i [:Private Water® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public`s Disposal Service Provider Required Sewer Facility ' Proposed❑ Existin ❑ On-site Sewage Disposal® Existing Septic S stem ® New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention' Proposed ❑ Required to: Ponds Existing❑ i Private Storm Draina e ® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ Electricity Telephone Service Distance to ` Service Provider Service Service Provider Distance to Service i PG&E EXISTING AT&T EXISTING School Service Fire Protection Service Distance to Elem ;I Service Provider School Service Provider Distance to Fire Station DELTA ISLAND 7.5 MI UNPROTECTED NIA I Existing Roads f I Road/Street Name R.O.W.Width Pavement Width Cur /Gutter Sidewalks ROBERTS ROAD 60' 28' (ESTIMATE) Yes❑ No® Yes ❑ No®J Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NIA Yes❑ No❑ Yes ❑ No❑ Yes ❑ No❑ Yes❑ No ❑ FADEVSVMPIanning Application Formsl Page 2 of 3 Job No 2009-134 LLA Lot Line Adiustment.doc.(Revised 6-4-04)