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.4 APPLICATION - LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Agriculture 11.19 Ac.Gross 2 Agriculture w/Residence 9.35 Ac.Gross 3 Agriculture 9.04 Ac.Gross 4 Agriculture 9.05 Ac.Gross SITE IMPROVEMENTS AND SERVICES Water Ann tion Distance to Public Public Water Service Provider R uired Water Feet Proposed❑ Existing❑ Private Water® Existin Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed❑ Existing❑ On-site Sewage Disposal N Existing Septic System ® New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ I Required to: Ponds Existing❑ Private Storm Drain e® On-site Retention Ponds) ❑ Natural Drainage/No Change N Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E Existing AT&T Existing School Service Fire Protection Service Distance to Elem Service Provider School Service Provider I Distance to Fire Station Lodi 4 Miles Mokelumne 3 Miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Furry Road 40' &50' 24"(Estimate) Yes❑ No N Yes❑ No N Curry Road 40' 24"(Estimate) Yes❑ No N Yes❑ No N Hogan Lane 40' 24"(Estimate) Yes❑ No N Yes❑ No Propose Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks NIA Yes ❑ No❑ Yes❑ No❑ 11 F:\DEVSVC\Piannin9 Application Forms\ Page 2 of 3 Job No 2015249 LLA 2 Lot Line Adjustment.doc.(Revised 05-11-09)