APPLICATION PROCESSING. Seven (7) copies of a site plan (see attached). Seven (7) copies of the recorded deed(s) of the properties involved.

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REVERSION OF ACREAGE San Joaquin County Community Development Department 1810 East Hazelton Avenue, Stockton CA 95205 Telephone: (209) 468-3121 Business Hours: 8:00 a.m. to 5:00p.m. (Monday through Friday, excluding Holidays) APPLICATION PROCESSING STEPS Step 1 CHECK WITH STAFF Development Services Staff will explain the requirements and procedures to you. Step 2 SUBMIT YOUR APPLICATION When you apply, file all of the following: FEE FORM SITE PLAN PROPERTY DESCRIPTION DEED APPLICATION COMPLETE The staff will let you know the current cost of filing an application. Make checks payable to the San Joaquin County Treasurer. Seven (7) copies of the completed application information form (attached) which all owners must sign or seven (7) copies of the Board Resolution approving initiation of proceedings for reversion to acreage. Seven (7) copies of a site plan (see attached). Seven (7) copies of a metes and bounds or other acceptable method of description, which will legally describe the property once it s reverted. This description will be used when recording the Reversion to Acreage document; therefore, it must be signed and stamped by a certified civil engineer or licensed land surveyor. Seven (7) copies of the recorded deed(s) of the properties involved. Staff will check your application. If anything is missing or incomplete, you will be notified at that time and processing of the Reversion to Acreage will not start until all required information is submitted. Step 3 APPLICATION PROCESSING REVERSION TO ACREAGE REFERRALS AND ACTION FINAL ACTION Staff will review and approve your application if it conforms to all adopted standards. If the application needs to be modified, you will be informed. The action of the staff is final. Step 4 REQUIREMENTS AND ADDITIONAL PERMITS DEED OR PARCEL MAP SJAFCA ASSESSMENT DISTRICT The reversion to acreage shall be recorded with an instrument evidencing the reversion of the parcels. This instrument will consist of a parcel map prepared by a registered civil engineer or a licensed land surveyor, and checked and recorded by the County Surveyor. Once the reversion document is recorded, a new deed describing the reverted parcels should be executed and recorded. Reapportionment form must be completed and fees paid, if required, prior to the recording of the Reversion, if the reverted properties are within the boundaries of the SJAFCA Assessment District. F:\DEVSVC\Planning Application Forms\ Page 1 of 5

Name: Address: TO BE COMPLETED BY THE APPLICANT Owner Information Engineer/ Applicant Information Name: Address: Phone: Description of the proposed project: Phone: PROPOSAL Voluntary Reversion: Yes No County initiated Reversion: Yes No PROPERTY AND VICINITY DESCRIPTION Property Information Assessor Parcel Number(s) Property Size Number of Parcels Williamson Act Contract Yes No Property Address: Land Uses On-Site Uses (Include Ag Crops): Uses to the North: Uses to the East: Uses to the South: Uses to the West: F:\DEVSVC\Planning Application Forms\ Page 2 of 5

Parcel Number PROPOSED PARCELS or Use of Parcel Square Footage or Acreage Square Footage or Acreage SITE IMPROVEMENTS AND SERVICES Public Water Service Provider Water Distance to Public Water (Feet) Private Water Well New Well Well Replacement Public Sewage Disposal Service Provider Sewage Disposal On-site Sewage Disposal Septic System New Septic System Other Public Storm Drainage Service Provider (if Public) Storm Drainage Terminal Drainage to: Distance to Public Sewer Facility Detention-Retention Ponds Private Storm Drainage On-site Retention Pond(s) Natural Drainage/No Change Other San Joaquin Area Flood Control Agency (SFAFCA Assessment District Yes No F:\DEVSVC\Planning Application Forms\ Page 3 of 5

AUTHORIZATION SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees from any claim, action or proceeding against the Owner/Agent s project. I, further, certify under penalty of perjury that I am (check one): Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) involved in this application, or Legal agent (attach proof of the owner's consent to the application of the property's involved in this application and have been authorized to file on their behalf., and that the foregoing application statements are true and correct. F:\DEVSVC\Planning Application Forms\ Page 4 of 5

SITE PLAN CHECK LIST SITE PLAN CHECK LIST Size: The site plan must be drawn on 18" x 26" reproducible material. North Arrow, Date and Scale: Use an engineer's scale (i.e., 1" to 20'or 1" to 40', preferred). The direction of "north" should be pointing towards the top of the page. Streets and Easements: Location and names of all streets and easements bordering on the property with access details. Property Lines: All existing and proposed property lines or boundary lines of the parcel with dimensions. Label each Parcel 1, 2, 3, 4, etc. and indicate the net square footage (acreage) of each. Vicinity Map: A vicinity map showing the location of the property in relation to surrounding streets. Names and Signatures: Name, signature, address and telephone number of owner; the name, address and telephone number of the owner, surveyor or engineer filing the map. Contour Lines: Contour lines or spot elevation relative to mean sea level datum. Dedications: Improvements and easements to be dedicated to the County. and Development: All existing structures (labeled 'existing') and any proposed structures (labeled 'proposed') with dimensions, square footage and distances from other structures and existing and proposed property lines. Any existing structures planned for removal should be shown with dashed lines. The use and number of floors should be labeled on each structure. Parking and Driveways: The location, dimensions and surface material of all existing and proposed parking and driveways. Water Wells: The location of existing and proposed water wells on-site and any off-site wells within 150'of the proposed development. Wells must be meet the following setbacks: - 5'from structures; - 50'from septic tanks; - 100'from leach lines; - 150'from sumps or seepage pits; and - 10'from property lines. If public water will be utilized, a "will-serve" letter must be submitted from the service provider. Sewers and Septic Tanks: The location of the sewer outlet, public sewer hook-up, or existing and proposed sewage disposal systems including leach field areas and any off-site sewage disposal systems within 150'of the property. Septic tanks must meet the following setbacks: - 5'from property lines, structures, driveways and swimming pools; - 50'from water wells. Leach lines must meet the following setbacks: - 10'from structures, driveways and swimming pools; - 100'from wells, streams and waterways. - 5'to 75'from property lines depending on zoning or the location of septic systems on adjoining properties (this requirement also applies to seepage pits). If public sewage disposal will be utilized, a "will-serve" letter must be submitted from the service provider. Storm Drainage: The location of existing and proposed storm drainage facilities (check with Engineering staff regarding design criteria). If subject to flooding, the 100-year flood elevations must be shown. Indicate any unusual topographic features of the site (e.g. steep slopes, or drainage courses). Watercourses: The location of existing watercourses and the extent of any levee, with toe and crown indicated. Flooding: The area subject to flood from an intermediate regional flood and depth of flood waters, if applicable. method of flood protection if property is subject to inundation from an intermediate regional flood or other flood hazard. SITE PLANS MUST BE COMPLETE AND LEGIBLE Before applying, check your Site Plan to make sure that it contains all of the information cited above. You are encouraged to have one of our counter staff review your draft Site Plan prior to having copies run. Faint prints and light blue lines will not be accepted because they cannot be reproduced or microfilmed. F:\DEVSVC\Planning Application Forms\ Page 5 of 5