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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> �dC FORM`P . <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Foota a or Acreacie <br /> 1 Orchards—No Change 10 Acres <br /> 2 Orchard—No Change 20 Acres <br /> 3 Orchard and Residence—No Change 80.0 Acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existing ❑ <br /> Private Water® Existing Well ® New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> tExilcstfino <br /> e Annex-Formation Distance to Public <br /> Service Provider Required Sewer Facility <br /> On-site Sewage <br /> Disposal ® Existing Septic System ® New Septic System ❑ Other ❑ <br /> Storm Drainage <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 /> Drainage® On-site Retention Pond s ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E Adjacent AT&T Adjacent <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Linden Unified School District 1 Mile Linden-Peters Fire Dept 1 Mile <br /> Exist in Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Highway 26 80' 25.00' Yes❑ No® Yes❑ No <br /> Yes ❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> No Change Yes ❑ No ❑ Yes ❑ No❑ <br /> Yes ❑ No ❑ Yes❑ No❑ <br /> -11 <br /> F\DEVSVC\Planning Application Foms\ Page 4 of 7 <br /> Lot Line Adjusunent.doc.(Revised 05-11-09) <br />