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PLICATION - LOT L E ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Etc .:`.1t FILE NUMBER: <br /> �o <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existi6 or Proposed Use of Parcel Foots a or Acrea e Footage or Acreage <br /> 1 160.95 ac 170.75 ac <br /> 2 11.24 ac 1.44 ac <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water. <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existing ❑ <br /> Private Water ❑ Existing Well ® New Well ❑ Well Re Iacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage <br /> Disposal ❑ Existin Se tic System ® New Septic System ❑ Other ❑ <br /> $toren a <br /> Drainge <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chang e ® Other ❑ <br /> Electricity ,.Telephone Service <br /> ' I <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P. G. & E. Adjacent A. T. &T. Adjacent <br /> School Service` Fire Protection Service . <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lodi Unitied 3 Miles Waterloo- Morada 3 Miles <br /> Exi <br /> sting Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> State Route 80 80' 20' Yes❑ No® Yes ❑ No ED <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> i <br /> Proposed Roads <br /> RoadlStreetName R.O.W.1P:idth Pavement Width CurblGutter Sidewalks <br /> Yes ❑ No ❑ Yes ❑ No❑ <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> F 0EVSVC\Plarnning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment.doc(Revised 6-4-04) <br />