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APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT PROPOSEDPARCELS - Parcel Number Existing or Proposed Use of Parcel Existing Proposed Square Footage Square Footage or or Acreage Acreage 1 Ranch 72 10.00 2 Agriculture 17 5 .00 3 Agriculture 90 88.00 4 Agriculture 4 80.00 SITE IMPROVEMENTS AND SERVICES Water _ Public Water Service Provider Annex-FAnnex-Formationoration Distance to Public Existing❑ R uired Water Feet Proposed❑ Private Water M Existing Well P New Weil 0 Well Replacement 0 Sewa eDis sal Public Sewage Service Provider Annex-Formation Distance to Public Disposal Required Sewer Facility Existing O Proposed 0 On-site Sewage Existing Septic System N New Septic System 0 Other 0 Disposal❑ Storm Drainage Public Storm Service Provider Annex-Formation Terminal Drainage Detention. Drainage Required to: Retention Ponds Existing 0 Proposed 0 Private Storm On-site Retention Pond(s) 0 Natural OrainageJNo Change t Other Drainage 0 Electricity Natural Gas - - Service Provider Distance to Service Service Provider Disunce to Service P.G. &E. adjacent Tele p hone Service " Cable Television Service'. Service Provider Distance to Service Service Provider Distance to Service Pacific Bell adjacent - School Service - - `fire Protectlon Service Service Provider Distance to Elem Service Provider Distance to Fire School Station Lodi Unified 3 miles Clements Fire District 3 miles Existin Roads. RoadlStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Highway 12 100` 30' Yes❑ NoK rend No Johnson Road 40' 24' Yes❑ NoM YesO No® Pro osed Roads Road/Sheet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Yes 0 No 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No 0 -3-