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4 � <br /> ..F=.f'. APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> I` FILE NUMBER: <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 1 <br /> Vineyard Y 10+!-acres 19+j-acres <br /> 2 Homesite 17 +f-acres 2+P acres <br /> ! i <br /> I I <br /> SITE IMPROVEMENTS AND SERVICES ; <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider <br /> Required Water Feet <br /> Proposed❑ <br /> Existing❑ <br /> i <br /> I <br /> } Private WaterExisting Well ❑ New Well ElWell Replacement;❑ <br /> Sewage Disposal <br /> Public Sewage 9 Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewers Facility <br /> I Proposed❑ <br /> Existing❑ 1 <br /> On-site Sewage i I. <br /> Dis osal Existing Septic System ❑r New t� Septic System E] 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 /> i Private Storm <br /> Drainage D On-site Retention Ponds ❑ Natural Drainage/No Change Q Other ❑ <br /> i <br /> Electricity Telephone Service <br /> i <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service j <br /> j PG&E on site AT&T on site <br /> iSchool Service Fire,Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lodi Unified School District 3 miles Woodbridge Fire District 2 miles ; <br /> Existing Roads <br /> { <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Private Road 30 feet 20 feet Yes❑ No❑ Yes ❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ j <br /> Proposed Roads <br /> i <br /> i. <br /> Road/Street Name R.O.W.Width Pavement Width Curb1Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> i <br /> Yes❑ No❑ Yes❑ No❑ <br /> FdDFVSVC\Pienning Application Formsl Page 4 of 7 <br /> Lot Line Adjusiment.doc.(Revised 6-4-04) 11 <br /> I <br /> I <br /> I i <br /> . I <br /> 1 <br />