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oP4�t7• c APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture 4.25 Acres 2 Agriculture 5.43 Acres 3 Agriculture 14.56 Acres 4 Agriculture 25.99 Acres SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existing❑ Private Water® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed❑ Existing❑ On-site Sewage Dis oral® Existing Septic System ® 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® 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 Existing AT&T Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Lammersville 1 Mile Tracy 1 Mile Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Von Sosten Road 60' 28'(Estimate Yes❑ No® Yes❑ No Byron Road 60' 28'(Estimate Yes ❑ No® Yes❑ No Proposed Roads Road/Street Name R.O.W.Width I Pavement Width Curb/Gutter Sidewalks N/A Yes El No El Yes ElNo❑ F:\DEVSMIolanning Application Foms\ Page 2 of 3 Job No 2016-33 LLA 5 Lot Line Adjustment.doc.(Revised 05-11-09)