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C ADJUSTMENT Ai PLICATION - LOT Lf f SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: ' Existing Parcel Number Existingor Proposed Use of Parcel Footage o SProposed Ac ea a Footae r Acreagee 1 Agriculture 76 Acres 80 Acres 2 Agriculture 154 Acres 150 Acres .-` SITE IMPRE�YEIIAEN TS AND,SERVICESs, E y: KK Annex-Formation Distance to Public Public Water Service Provider Re uired t Proposed ❑ Existin ❑ C Private Water® Existing Well ❑ New Well ® Well Re lacement ❑ 1 C �. SBP :. SLW0ge D1spasal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Re uired Sewer Facilit Proposed❑ Existing❑ On-site Sewage Disposal ® Existing Septic System ❑ New Septic System ® Other ❑ �Qi`E:;z ga' Storm brainage -. - - Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ Required to: Ponds Existing ❑ Private Storm Drainage❑ On-site Retention Ponds ❑ Natural Drains e1No Chane ® Other ❑ Distance to Service Provider Service Service Provider Distance to Service P.G.&E. Adjacent AT&T Adjacent SCE�ool Sen►1ce Distance to Elem` E F1re P,roteCtion Serv � Service Provider School Service Provider Distance to Fire Station `i Lodi-Unified 0.5 Miles Waterloo-Morada 5 Miles f Existin K ' Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Live Oak Road 60' 24' Yes ❑ No® Yes❑ No Cg Yes ❑ No❑ Yes❑ No ❑ 3 2 02 ..(z� ro, SECICt8� E E Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks^ Yes ❑ No❑ Yes ❑ No❑ j Yes[I No El Yes El No F-1 I'MEVSMPlanning Application Forms\ Page 4 of 7 Lot Line Adjustment.doc.(Revised 05-11-09)