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3PLICATION - LOT L-YE ADJUSTMENT <br /> c s SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 'r <br /> ` FILE NUMBER: <br /> Existing Square Proposed Square <br /> Parcel Number <br /> Existing or Proposed Use of Parcel Foota a or Acrea a Foota a or Ac e <br /> 061-12-25 RESIDENTIAL 1.72 AC. 1.09 AC. <br /> 061-12-43 RESIDENTIAL 0.51 AC. 1 12- <br /> ITEPR a AND SERVIC`E� - <br /> - Water' 7 <br /> Annex Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existing ❑ <br /> Private WeAw® 11231111111dplill Well ❑ New Well ❑ Well Replacement ❑ <br /> PoblIc Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facilit <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage <br /> Dis osal ❑ <br /> Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed ❑ Required to: Ponds <br /> Existing ❑ <br /> Private Storm <br /> Drainage On-site Retention Ponds ❑ Natural Draina No Chane ® Other ❑ <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E 5.03 MILES SBC AT&T 32.37 MILES <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> L0DI UNIFIED .17 MILES LODI FIRE DEPT. 3.42 MILES <br /> 41 4111�� <br /> _ - <br /> Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> MUNDY RD 40.00' 24.00' Yes ❑ No ® Yes ❑ No Ej <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> rr R <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes ❑ No ❑ Yes ❑ No ❑ <br /> Yes❑ No❑ Yes❑ No ❑ <br /> F 0Evsvc\P1anntr19 Application Fonos\ Page 4 of 7 <br />