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(UMub .�nAPPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT .c !�p' FILE NUMBER Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Foota a or Acreage Footage or Acreage 1 Rural residential 60.7+/_AC 66.5+/_AC 2 Open grazing land 25.1+/_AC 19.4+/- SITE IMPROVEMENTS AND SERVICES 9.4+/_SITEIMPROVEMENTSANDSERVICES � Water Annex-Formation Distance to Public Public Water Service Provider Re uired Water Feet Proposed 171 Existing ❑ Private Water® Existing Well ® New Well ❑ Well Replacement ❑ SewageDisposal Public Sewage ;annex Formation Distance to Public Disposal Service Provider Required I Sewer Facility Proposed ❑ Existing ❑ On-site Sewage Disposal ® Existing Septic System ® New Se tic S stem ❑ Other ❑ ; 5 .+ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing ❑ Private Storm Drainage® site Retention Ponds ❑ Natural Draina elNo Change Other ❑ 'Electricity - Telephone Service Distance to Service Provider Service Service Provider Distance to Service P.G.&E. Adjacent AT&T Adjacent School Service ' Fire Protection Service. Distance to Elem Service Provider School Service Provider Distance to Fire Station Lodi-Unified School District 5 Miles Division of Forestry 10 Miles Ae AK ^[�t�v't..r h q�6',c-5 f�"s3 Y. om:,' ExIle Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Liberty Road 60' 24' Yes ❑ No® Yes❑ No Yes ❑ No❑ Yes❑ No❑ Pro osed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes ❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes ❑ No❑ F:\DEVSVC\Planning Application Forms\ Page 4 of 7 Lot Line Adjustment.doe (Revised 05-11-09)