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J..JPLICATION -- LOT L JE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: r 'PROPOSED PARCELS'` Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Rural Residential/Agricultural 10.00 AC & 1.78 AC 12.87 AC 2 Agrj:cutural 98.98 AC 97.89 AC SITE IMPROVEMENTS AND SEl7V10ES i' Water . Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existing ❑ I i; Private Water❑ II Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal z Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ Existin ❑ On-site Sewage i Disposal ❑ Existing Septic System ® New Septic System ❑ Other ❑ Storm❑rainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing ❑ Private Storm Draina e❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ Electricity Tele'hone Service ii Distance to Service Provider Service Service Provider Distance to Service P.G.&E. i; Adjacent AT&T Adjacent r School Service: Ftre Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Escalon Unified 3 Miles Farmington 5 Miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks I Sonora Road 80' 24' Yes ❑ No® Yes ❑ No i Yes ❑ No❑ Yes ❑ No❑ i Proposed Roads RoadlStreet Name R.Q.W.Width Pavement Width Curb/Gutter Sidewalks NIA i Yes ❑ No❑ Yes❑ No❑ NIA Yes-E] No❑ Yes❑ No❑ F:%DEVSVC\Pianning Application Form.l Page 4 of T Lot Line Adjustment.doc.(Revised 6-4-64)