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a y . ll f t APPLICATION - LOT LINE ADJUSTMENT ). t ;---7—; ..�} SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 3 K: - FILE NUMBER: -------___---_____-- �9.CiF9 i' PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existinq or Proposed Use of Parcel Footage or Acreage Foots a or Acreage. Parcel 1 Homesite 10 Acres 4.8 Acres j Parcel 2 Vineyard 80 Acres 1$5.1.Acres SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existin ❑ Private Water❑ Existing Well ® New Well ❑ Well Re !.cement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Re uired Sewer Facility Proposed ❑ Existing❑ On-site Sewage Disposal ❑ Existing Septic S stem ® New Septic S stem ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention ❑ Required to: Ponds Proposed Existing❑ Private Storm Drainage❑ I On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ ;Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service P &E. On Site SEC On Site . School Service . . Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Lodi Unified 3 Miles Clements Fire Dist. 3 Miles Existing Roads _ Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks Johnson Road 40' 20' Yes❑ No® Yes ❑ No State Hwy 12 101' 40' Yes❑ No® Yes ❑ No Proposed Roads Road/Street Name R.O.W. Width Pavement Width CurblGutier Sidewalks Yes❑ No❑ Yes ❑ No❑ Yes❑ No❑ Yes ❑ No ❑ t F lO£VSVCXPIanning Appi talion Forms! Page 4 of 7 Lot une AdiuslmeN dot.(Revised 6-4-04)