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APPLICATION - LOT LINE ADJUSTMENT 3.•4Gt'•.O SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: t i i=p•R .:. PROPOSED PARCELS ` Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acrea a Footage or Acreage { Residential,Agricultural 3 Acre 2 Acre 2 Residential,Agricultural 3 Acre 4 Acre SITE IMPROVEMENTS AND SERVICES �� N er t Annex-Formation Distance to Public^° Public Water Service Provider Re aired Water Feet Proposed❑ Existin ❑ Private Water Existing Well Q New Well ❑ Well Re lacement ❑ v . Sewage Disposal a- Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility '.,Proposed ❑ Existing❑ On-site Sewage bis osal Existing Septic S stem New Septic System ❑ Other ❑ £ om ._ Storm Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing❑ Private Storm Drainage Q On-site Retention Ponds ❑ Natural Drainage/No Change Q Other ❑ v Electrici , �, t� Tele hone°Service \ „ Distance to Service Provider Service Service Provider Distance to Service r P.G.&E. 200' A.T.&T. 200' School Service \ Fire Protection Service ..:__. . Distance to Elem Service Provider School Service Provider Distance to Fire Station Lodi Unified 2 miles Woodbridge 2 miles Existing Roads-' t � Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks t. East Live Oak Road 80' 25' Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ Yes❑ No❑ 00, M. Proposed Roads,. XIAP . Road/Street Name R.O.W.Width Pavement Width CurblGutter Sidewalks Yes El No El Yes El No E] Yes❑ No❑ Yes❑ No❑ FADEVSVMPlanning Application Formsl Page 4 of 7 Lot Line Adjustment.doc.(Revised 64-04)