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r)S <br /> oPQt'Y. APPLICATION - LOT LINE ADJUSTMENT <br /> Q' % SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 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 Residential,Winery,Agricultural Buildings,Vineyard 1/2 Acre 5 acres <br /> 2 Vineyard 106 Acres 101 Acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider <br /> Proposed [:] Required Water Feet <br /> Existing ❑ <br /> Private Water 0 Existing Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal . <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existing ❑ <br /> On-site Sewage <br /> Disposal[] Existing Septic System ❑ New Septic S stem ❑ 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 Q On-site Retention Ponds ❑ Natural Drainage/No Chane 0 Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E on-site AT&T on-site <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> LUSD 2 miles Liberty 3.7 miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width CurblGutter Sidewalks <br /> Woodbridge Road 45 feet 19 Yes❑ No E] Yes❑ No El . <br /> Yes❑ No❑ Yes❑ No ❑ <br /> Proposed Roads <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:%DEVSVC\Planning Application Forms\ Page 4 of 7 <br /> Lot Line Adjostment.doc.(Revised 6-4-04) <br />