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4 l -d-1K AII, ?LICATION - LOT LW'..;_ ADJUSTMENT 1 ' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 1.. :.I �• FILE NUMBER: \1PCJ% PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Po osed Use of Parcel Footage or Acreage Footage or Ac rea e 051-250-12 Rural Residential/Agriculture 8.64 16.9 AC 051-250-13 Rural Res identiallAgriculture 28.36 20.1 AC SITE.I.MPROVEMENT.S AND'SERVICES Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existing ❑ Private Water® Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal: Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ Existing ❑ On-site Sewage Disposal® Existing Septic System ® New Septic System ❑ Other ❑ Storm Dratna e ' Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing❑ Private Storm Drainage❑ I On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ Electricity 7ele'p honeService Distance to Service Provider Service Service Provider Distance to Service P.G.&E. Adjacent AT&T Adjacent School Service'` F,Ire.' Protection:Service. Service Provider Distance to ElemSchool Service Provider Distance to Fire Station Lodi Unitifed 1 Mile Mokelumne 0.5 Miles Existin 'Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks State Highway 88 80' 76' +/- Yes❑ No ® Yes❑ No Victor Road 50' 20' +/- Yes❑ No ® Yes❑ No Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NSA Yes❑ No ❑ Yes❑ No❑ Yes ❑ No ❑ Yes❑ No❑ F:\DEVSVC\Planning Application Forms\ Page 4 of 7 Lot Line Adjustment.doc.(Revised 6-4-04)