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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PROPOSED PARCELS' <br /> Parcel Number Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage or <br /> orAcreage Acreage <br /> SITE IM PROVE MENTS`:AND:SERVICES;.... .. <br /> _.Water. <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Existing❑ Required Water Feet <br /> Proposed❑ <br /> Private Water a Existing Well 01 New Well ❑ Well Re lacement ❑ <br /> Sews e:Dis `osal : .:. ..... <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 i$' New Septic System ❑ Other ❑ <br /> Disposal <br /> Storm D" fi a e.. ..';' . <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention <br /> Drainage Required to: Retention Ponds <br /> Existing 59r' <br /> Proposed❑ <br /> Private Storm On-site Retention Pond(s) ❑ Natural Drainage/No Change p- Other ❑ <br /> Drainage t <br /> city.`: .. [Vaturaf'.Gas . <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> toe, AE <br /> one.SerV <br /> e hece .. '>Cable7e]evislon.Ser�cice.. <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> :.,' School.Service. . ; <br /> Fire Protection;Service' <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Lodi Unifle'd W oelbrid F e <br /> Existln Roads. <br /> RoadlStreet Name R.O.W.Width Pavement Width CurblGutter Sidewalks <br /> Telycr a, 01,49 Yes❑ No Yes❑ Nop" <br /> Yes❑ No❑ Yes❑ No❑ <br /> pro bsed Riia <br /> k ....;. _ <br /> Road/Street Name R.O.W.Width Pavement Width '�-Curti/Gutter Sidewalks ..�... �. <br /> A2A,,SW_cu. & e42V7 Q 2[� t' Yes Cl No?( Yes❑ Noy, <br /> Yes 0 No❑ Yes❑ No❑ <br /> -3- <br />