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_ PLICATION - LOT LINEDJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> i <br /> 4 PROPOSED PARCELS <br /> xisting Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> i <br /> i <br /> I SITE IMPROVEMENTS AND SERVICES <br /> f Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water(Feet) <br /> Proposed <br /> Existing <br /> Private Water Existing Well ❑ New Well Well Replacement ❑ <br /> Sewage Disposal <br /> Public SewageAnnex- ormation Distance to ublic <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed <br /> Existing <br /> On-site Sewage <br /> Disposal Existing Septic System New Septic System Other <br /> Storm Drainage <br /> Pu is 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 e On-site Retention Pond(s) Natural Drainage/No Change Other [] <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E 1 mile SBC 1 mile <br /> School Service Fire Protection Service <br /> istance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lodi Unified Schooi District 10 miles Liberty Fire District 3 miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Orchard Road 40' 20' Yes No Yes ❑ No <br /> Yes No [j Yes E] No 0 <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> i <br /> Yes E] No Ej Yes [3 No f-] <br /> Yes ❑ No Yes [] No ❑ <br /> FATEMCUlanning Application Formsll Page 4 of 7 <br /> Lot Line Adjustment,doc.(Revised 6-4-041 <br /> I <br />