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ot4�l�. APPLICATION — LOT LINE ADJUSTMENT <br /> r Q` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> �/FOR• <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Foota a or Acrea e <br /> 1 Existing Homesite 4.0 AC 10.3 AC <br /> 2 Bare Land 10.3 AC 10.3 AC <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Annex-Formation Distance to Public <br /> Service Provider Re uired Water Feet <br /> Proposed❑ <br /> Existin ❑ <br /> Private Water® Existing Well ® New Well ❑ Well Re lacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facilit <br /> Proposed❑ <br /> Existing❑ <br /> On-site Sewage <br /> Disposal® Existin Septic System ® New Septic System ❑ 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 ® On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P.G.&E. Adjacent AT&T Adjacent <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lodi Unified School Dist. 8 Miles Mokelumne Rural Fire Dept. 2.0 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Fox Road 40' Yes❑ No® Yes ❑ No <br /> Hwy 88 40' Yes ❑ No® Yes❑ No <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> N/A Yes ❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> ........... .. _ rl .. A ..L 1 <br />