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'PLICATION - LOT LANE °• -�� •-y ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: I Existing Square Proposed Square ... Parcel Number Existing or Pro osed Use of Parcel Foeta a or Acrea a Foota a or Acrea e Parcel 1 6.69 AC 6.54 AC Parcel 2 0.44 AC 0.59 AC I ; It Q�lE EIS�� SIV x — Io Public WaterAnnex-Formation Distance to Public Service Provider Proposed M Re uired Water Feet Existing❑ California Water Private Water xistin Well ® New Well ❑ Well Replacement ❑ b S,ewageDisposaC ti r y Y , } Public Sewage Annex-Formation Distance to Public Disposal Service Provider Proposed El Required Sewer FacilityI 1 Existin ❑ On-site Sewage Disposal® E xisting Se tic S stem ® New Septic System ❑ Other ❑ +w i,-a I� s� rS 5' ��fi�iril7ri�ralhag�@>�' r�-� �`•�r1s"r �p�� '�`'" .� � r 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 Chane ® Other ❑ ! SR d !r!Service Distance to Service Provider Service Service Provider Distance to Service kG.&E• Adjacent Stockton Fire Department Adjacent School Sgavice �_��3 �1FIr$�prSte�tion service Distance to Elem s _ Service Provider School Service Provider Distance to Fire Station Stockton Unified 112 Mile Stockton Fire Department 2 Miles u � T Existin Roads r Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks i N. Broadway Avenue 65' 28' Yes ❑ No® Yes❑ No Yes ❑ No❑ Yes❑ No ❑ Pro Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NIA Yes❑ No ❑ Yes ❑ No❑ Yes❑ No❑ Yes ❑ No❑ F:TEVSVCTlanning Application Formsl Page 4 of 7 Lot Line Adjustment.doc.(Revised 8-4-04)