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i' A-)PLICATION - LOT LC,,E ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVEI-OPMENT DEPARTMENT .. :� F1lsEfN:lIbBf2: . I A00 001%L K k It Pq TA101 14 N :t PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 025-160-21 Agriculture/Residential 5.254 AC 3.355 AC 025--160-33 Residential/Agriculture 0.368 AC 2.399 AC 025-160-54 A riculture/Residential g 38.652 AC 38.782 AC ": 025-160-55 Agriculture/Residential 0.130 AC 0.0 AC SITE'IMPROVEMENTS AND SERVICES Water . Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existing ❑ I E Private Water® Existing Well ® New Well ❑ Well Re lacement ❑ r Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Re uired Sewer Facility Proposed ❑ Existing ❑ On-site Sewage Dls osal Q Existing Septic System NeW Septic System ❑ Other ❑ - Storm p'raina e ' I 9,- Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention i Proposed El Re uired to: Ponds Ii Existing ❑ :1 Private Storm t Drainage❑X On-site Retention Ponds ❑ Natural Drains e1No Chane ❑X Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E On Site SBC On Site Schdol Service Fire Protection 5eririce Distance to Elem l i Service Provider School Service Provider Distance to Fire Station Lodi Unified Woodbridge Existing Roads RoadlStreel Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Sargent Road 40' 20' Yes ❑ No x❑ Yes ❑ No p Devries Road 40' 20' Yes❑ No ® Yes❑ No Proposed Roads Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks NIA Yes ❑ No ❑ Yes❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ F 1t0EVSVCIPianning Application Fcrmsl Page 4 of 7 f-\06cad1062521win-docllla—app.pdf Lot Line Adjustment.doc,(Revised 6-4-04)