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4 Aa�iN ''PLICATION — LOT Lf74E ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> R<<F ORS` <br /> PROPOSE© PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1 Agriculture with residence 2.43 acres <br /> 2 Agriculture 16.21 acres <br /> SI3E 4MP.RQVEMEl11T5.ANDiSERVICS <br /> "Water <br /> Public WaterAnnex-Formation Distance to Public <br /> Service Provider Required Water Feet <br /> Proposed ❑ <br /> .,Existing❑ <br /> Private Water® 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® Existing Septic System ® New Septic Sys' m ❑ Other ❑ <br /> Storirt'Drat nage <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 /> f Draina e® O i-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 i Existing SBC <br /> Existing <br /> School ServiceProtectibn Service: <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Escalon Unified 3 miles Escalon 4 miles <br /> -. :EXistirii -Roads _ <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Sexton Road 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 /> POEVSVCIPfanning Application Forms\ Page 2 of 3 Job No 2005-264 LLA <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br />