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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .. <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> or Acreage or Acreage <br /> 1 Vine and26 75 <br /> 2 Homesite ti 0.80 <br /> 3 V I YW R-P 141. 5, <br /> .............. ..... ..... <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing ❑ Required Water (Feet) <br /> Proposed ❑ <br /> Private Water❑ Existing Well Z New Well ❑ Well Replacement ❑ <br /> 1AfJ0.. <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal Required Sewer Facility <br /> Existing ❑ <br /> Proposed❑ <br /> On-site Sewage Existing Septic System IN New Septic System ❑ Other ❑ <br /> Disposal❑ <br /> zm <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Existing ❑ <br /> Proposed❑ <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change n Other 0 <br /> Drainage❑ <br /> EfectrfCty Naturat t:as <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> P.G. &E. Ad acent P.G.&E. Adjacent <br /> ...:.......:. q {. <br /> Service Provider Distance to Service Service Provider Distance to <br /> Service <br /> Pacific Bell Adjacent Media One Adjacent <br /> .... ......:.::::::.:::::::. :::::....:..:.:::.;..:::: :. . <br /> Sahaol s rYfaa ::::::.: :..:::.::.....":. al.a#eptta svtae <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Lodi Unified 1 Mile Mokelume 2 Miles <br /> g ..:. <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N. 99 Frontage Rd. 56' 32' Yea❑ Not Yes❑ Nob <br /> Scottsdale 40' 20' Yes Non Yes Nob <br /> sm <br /> < Wlf$!>iiYi ` i ' i <br /> ::. PtC[f0 <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> -3- <br />