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A A. -PLICATION - LOT LINE.-,DJUSTMENT <br /> � a <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> PARCELSf <br /> .; � * <br /> wa w <br /> xisting quare Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> i 1 <br /> Homes[te 5.80 acres 1.14 acres <br /> 2 Agriculture <br /> 1.40 acres 6.06 acres <br /> IMPROVEMENTS AND SERV ES r � s <br /> w . <br /> at �� ,x � � ,.,��,� ,� ,�� w � .etc <br /> Public Water Service Provider <br /> Annex- ormation Distance to Public <br /> Pro ting ❑ Required Water(Feet) <br /> P <br /> Existing ❑ <br /> Private Water Existing WellNew Well <br /> yx s � E:] Well Replacement ❑ <br /> � - �n,"+E�.t•i,�-� .;� -'� �- ��x�:{ c�_d.��yr �Seinrd e�is OSd[ � ' . r"q � -fir �`dr'Sx - ' z' _ <br /> .u..:ic <br /> ewage nnex- ormatlon istance to PuBlic <br /> Disposal Service Provider Required Sewer Facifity <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage <br /> Disposal Existing Septic System New Septic SystemOther <br /> .,u. ., � _-K� r'^�p, .4 r '.�a .�-. ' _ v"��.... .z$torR1�rdlna @ ' f y ,.Qy r ,,;_P "+r `'. r's❑ ..., ❑ y - <br /> Public torm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing ❑ <br /> Private torm <br /> Drainage Orn-site Retention Pond(s) ❑ Natural Drainage/No Change Other ❑ <br /> Electricity , X 4 r <br /> ...'..,.�wcvlCe.a.,.:.i Telt 11017e SIE <br /> .. <br /> istanceto <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E On-site SBC On-site <br /> Schoo[Service " :. { Pratectltan Service: <br /> a.ec <br /> —DI—stance to em <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lodi Unified School District 2 mile Mokelumne Fire District 1 mile <br /> s <br /> * ' 3 Existing Roads ." >. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Locke Road 40' 25' Yes ❑ No E Yes ❑ No <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> w �,,,.rdr•`'. ,..i ...4 s,..-x°;A. ,:4 ° ,. _ T a�,} :''�.- Rba <br /> oposed Pr <br /> r <br /> E.. ds� <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No ❑ Yes ❑ No <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> FADEVSVC11Planning Application Forms%\ Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 6-4-041 <br />