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APPLICATION LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: P AR c Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 residence/pasture-grass 7.990 AC. net 3.203 AC. net 2 residence/almond orchard 4.857 AC. net 9.644 AC. net w WTI$- M :A_ IN _8 _61 Annex-Formation Distance to Public Public Water Service Provider Required Water(Feet) Proposed 7 Existing El Private Water Z Existing Well New Well Ll Well Replacement ❑ Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed F-1 Existing E] On-site Sewage DisposalExisting Se tic System New Se tic System ❑ Other ❑ Storm g Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed 7 Required to: Ponds Existing F71 Private Storm Drainage 91 On-site Retention Pond i s) ❑ Natural Drainaqe/No Change Other El 'etric :S. 7.1 j. t S-Mu9p tie Distance to Service Provider. Service Service Provider Distance to Service E. Distance to Elem Service Provider School Service Provider Distance to Fire Station S C) ,,a... ::::rr Z XONFAR, Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks 2-� Yes El No Pq Yes 0 NoZ k P-r-, YesEl NojR Yes EJ No El ............ -Aw V W -Z N FX AR Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes El No El Yes 0 NoE] Yes El No E] Yes El No L1 FADEVSMplanning Application Formsk Page 4 of 7 Lot Line Adjustment.doc.(Revised 64-04)