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APPLICATION - LOT( NE ADJUSTMENT i' , . ' i SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: PROPOSED PARCELS Parcel Number Existinor Proposed Use of Parcel Existing Square Proposed Square Footage or Acrea e Foota e or Acrea e Agriculture 2 2.11 ac gross Agriculture with residence 63.94 ac gross 3 Agriculture 68.48 ac i SITE IMPROVEMENTS AND SERVICES Water Public Water Service Provider Annex-Formation Distance to Public Proposed ❑ Required Water Feet Existin ❑ Private Water® Exi sting Well ® New Well El Weil Re lacement ❑ Public Sewage Sewage Disposal Disposal Annex-Formation Distance to Public Proposed ❑ Service Provider Re uired Sewer Faeilit Existin ❑ On-site Sewage Dis osal® Existin Septic System New Septic S stem ❑ Other ❑ Public Storm Storm Drainage Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required Existing ❑ t° Ponds Private Storrs Draina e® On-site Retention Pond s ❑ Natural Draina e1No Chane ® Other ❑ i t Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E Existing SBC J I School Service Fire Protection Service Existing i Distance to Elem f Service Provider School Service Provider Distance to Fire Station Escalon Unified 2 mi Escalon 5.5 mi Existin Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Van Allen Road 40' 26' (estimate) Yes ❑ No® Yes ❑ No Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NIA Yes❑ No❑ Yes ❑ No❑ Yes ❑ No ❑ Yes ❑ No ❑ F.0EVSVCrPtanning Application Formsl Page 2 of 3 Lot Line Adjustment-doc.(Revised 6-4-04) .fob No 2007-109LLA.doc