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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> J., <br /> �'•. FILE NUMBER: <br /> PROPOSE-PARCEIrS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Foota a or Acrea a Footage or Acrea e <br /> 1 Vineyard/Residence 2 Acres <br /> 2 Vineyard 38 Acres <br /> 7, 777717 <br /> SITE"1MPROVEME�iTS AfV :SERIVICES . . <br /> Water <br /> Public WaterAnnex-Formation Distance to Public <br /> Service Provider <br /> Proposed ❑ Required Water Feet <br /> Existin ❑ <br /> Private Water® Existing Well ❑ New Well ® Well Replacement ❑ <br /> Sewage Disposal: <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required <br /> Proposed F1 Sewer Facility <br /> .Existing❑ <br /> �On6-sjteage <br /> ® Existing Septic System ❑ New Septic S stem ® Other ❑ <br /> StormDrainage, <br /> Public Storm <br /> Drainage Service Provider(if Public) :THRe�=ired <br /> Terminal Drainage Detention-Retention <br /> Proposed ❑ to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Draina e❑ On-site Retention Pond s ❑ Natural Draina a/No Chane ® Other ❑ <br /> Electricity <br /> Irs: 7elephone:Sernce'`, <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P.G.&E. Adjacent AT&T Adjacent <br /> School SerVice ' <br /> Fire F?rotectlon.Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lodi Unified School Dist. 0.5 Miles Mokelumne Fire Dept. 7 Miles <br /> Existin :Roads >: <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Live Oak Road 80' 24' Yes ❑ No ® Yes❑ No <br /> Furry Road 40' 21' Yes ❑ No ® Yes❑ No <br /> Pro osed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> NIA Yes ❑ No ❑ Yes ❑ No❑ <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> F:TEVSVG1Planning Application Forms\ Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 5-4-04) <br />