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oQ SIN. APPLICATION — LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 1 % { FILE NUMBER: _______ �7FORt1 PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existinq or Proposed Use of Parcel Footage or Acrea e Footage or Acreage 249-120-22 Residence/Pasture 4.13 acres 4.21 acres 249-120-23 Residence/Pasture 1.43 acres 1.59 acres 249-120-45 Residence/ Pasture 4.69 acres 4.45 acres SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water(Feet) Proposed ❑ Existin F7S.S.J.I.D. (Irrigation) Private WaterF] Existing Well El New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ Existin ❑ On-site Sew,awe Disposal LXJ Existing Septic System Q 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 X On-site Retention Pond(s) Natural Drainage/No Change Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E On-Site AT&T On-Site School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station E.U.S.D. - Dent Elementary 4 miles Escalon Fire Protection District 4 miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb!Gutter Sidewalks Sutliff Road 50' Yes ❑ No Q Yes ❑ No X Lemon Avenue 50' Yes ❑ No❑ Yes❑ No Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes ❑ No❑ Yes ❑ No❑ Yes ❑ No ❑ Yes ❑ No Q F:\DEVSVC\Planning Application Fortes\ Page 4 of 7 Lot Line Adjustment.doc.(Revised 0511-09)