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a'4�IN. APPLICATION — LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> \`.• FILE NUMBER: <br /> t,Foda <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1 Agriculture 11.61 Ac.Gross <br /> 2 Agriculture 9.26 Ac.Gross <br /> 3 Agriculture w/Residence 41.34 Ac.Gross <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <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 Sewer Facility <br /> Proposed❑ <br /> Existing❑ <br /> On-site Sewage <br /> Disposal® Existing Septic System ® New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> ffEn <br /> Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Required to: Ponds <br /> Private Storm <br /> Drainage® On-site Retention Ponds ❑ Natural Drainage/No Change ® Other ❑ <br /> Electricity F Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider = Distance to Service <br /> PG&E Existing AT&T I Existing <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lodi 4 Miles Mokelumne 3 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Furry Road 40'&50' 24"(Estimate) Yes ❑ No® Yes❑ No <br /> Curry Road 40' 24"(Estimate) Yes❑ No® Yes❑ No <br /> Hogan Lane 40' 24"(Estimate) Yes❑ No® Yes ❑ No <br /> Armstrong Road 33' 24"(Estimate) Yes❑ No® Yes❑ No <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes ❑ No❑ Yes❑ No❑ <br /> FADEVSVCTIanning Application Forms\ Page 2 of 3 Job No 2015-249 LLA 1 <br /> Lot Line Adjustment.doc.(RWsed 05.11-09) <br />