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APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: FADEVSVOPlanning Application Forms\ Page 2 of 3 Job No 2016-245 LLA Lot Line Adjustment.doc. (Revised 05-11-09) PROPOSED PARCELS Parcel Number Existing or Proposed Use of Parcel Existing Square Footage orAcrea a Proposed Square Footage or Acreage 1 Agriculture / Residences 35.20 Ac. Gross 2 Agriculture 14.70 Ac. Gross 3 Agriculture 43.51 Ac. Gross SITE IMPROVEMENTS AND SERVICES Water Public Water Service Provider Annex -Formation Re uired Distance to Public Water Feet Proposed ❑ Existin ❑ Private Water ® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Disposal Annex -Formation Service Provider Required Distance to Public Sewer Facility Proposed ❑ Existing ❑ On-site Sewage Disposal ® Existing Septic System ® New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Proposed ❑ Service Provider (if Public) Annex -Formation Required Terminal Drainage to: Detention Retention Ponds Existing ❑ Private Storm Drainage ® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ Electricity Telephone Service Service Provider Distance to Service Service Provider Distance to Service P.G.&E. Existing A.T.&T. Existing School Service Fire Protection Service Service Provider Distance to Elem School Service Provider Distance to Fire Station Tracy Unified 3.5 miles Unprotected 5.0 miles Existing Roads Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks Wolfinger Road 40' 22' (Estimate) Yes ❑ No ® Yes ❑ No Roberts Road 60' 28' (Estimate) Yes ❑ No ® Yes ❑ No Yes ❑ No ❑ Yes ❑ No ❑ Proposed Roads Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks N/A Yes ❑ No ❑ Yes ❑ No ❑ FADEVSVOPlanning Application Forms\ Page 2 of 3 Job No 2016-245 LLA Lot Line Adjustment.doc. (Revised 05-11-09)