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I APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: Existing Square Proposed Square k Parcel Number Existing or Proposed Use or Parcel Footage or Acreage Footage or Acreage 1 Vineyard 37.05 AC 43.4 AC 2 Vineyard 139.79 AC 133.5 AC ��` .ryy�PRbSA D.SEYES' ,: � r "+r* S �7�.a �: x oa.r, ..s- ,y�ll " n Asa"p. ''�.. : ..m Public Water Annex Formation Distance to Public Proposed❑ Service Provider Required Water Feet Existing❑ , Private Water ® Existing Well ® New Well ❑ Well Replacement ❑ r".Y+"� G Py�k.sx� ...... i ., }en4rar+a Public Sewage Annex Formation Distance to Public Disposal Service Provider Required Water Feet i Proposed ❑ Existing ❑ I On-Site Sewage I Disposal ® Existing Septic System ❑ New Septic System ❑ Other ❑ # : � "' mag ;44��--e " r ,ori. LL�'�`:w. Public Storm Annex Formation Terminal Drainage Detention-Retention Disposal Service Provider If Public Required To: Ponds Proposed ❑ Existing ❑ Private Storm Drainage® On-Site Retention Pond(s) ❑ Natural Drainage/No Change ® Other ❑ ��,:. �s •�`�' �,� �y € � . , �` .�s• B OP.�16T"1t 6�§ 1CViC.F��"� €,�. Distance to Service Provider Service Service Provider Distance to Service P.G.&E. Ad'acent SBC Ad"scent �-� -�se's v �� r- � '&.�_re x-e xxay - r^c �to.F :>-• _ t ?° ...' Sch4of SrIC �:,.r .�xirerF�!°otetion�5enrice� 30 x Distance to Elem Distance to Fire Service Provider School Service Provider Station Lodi Unified School District 1 Mile Waterloo/Morada 5 Miles '` �r r,..;. {;+_.e a@.,, V9 , '� . ..:,, v r+._1C^ �Y ,tv . ' ristii� " . Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Live Oak Road 40' 15' ❑ Yes ® No ❑ Yes ® No ❑ Yes ❑ No ❑ Yes ❑ No T�a :b" n-�s, r�.?u`i;S'-t`s5. h- v: � � .'.t0 -iris SSiIs n,7:±r= i� .�:�: Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NIA ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No F:\DEVSVC\Planning Application Forms\) Page 4 of 7 Lot Line Adjustment.doc (Revised 6-04-04