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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ,. FILE NUMBER: <br /> rFOM1� <br /> PROPOSED PARCELS <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage <br /> 063-070-53 Existing Residential 12.85 acres 2.00 acres <br /> 063-070-65 &67 AG-Cherry Orchard 88.62 acres 99.47 acres <br /> SITE IMPROVEMENTS AND SERVICES <br /> . .. Water <br /> Annex-Formation - Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed ❑ <br /> Existin <br /> Private Water Existing Well ❑ New Well ❑ Well Replacement ❑._ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facilit <br /> Proposed ❑ <br /> Existin <br /> On-site Sewage <br /> Disposal ® Existing Septic System ® New Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(ifPublic) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Required to: Ponds <br /> Existing <br /> Private Storm <br /> Drainage On-site Retention Ponds ❑ Natural Draina elNo Chane ® 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 /> L.U.S.D. 2 miles Lodi Fire District 3 miles <br /> Existing Roads <br /> RoadlStreet Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> E.Harney Lane 60' 23.50' Yes❑ No❑ Yes❑ No <br /> Yes ❑ No❑ Yes❑ No❑ <br /> Proposed Roads <br /> Road/Street Name R.O.W.Width I Pavement Width Curb/Gutter Sidewalks <br /> No Change Yes ❑ No❑ Yes ❑ No❑ <br /> Yes❑ No ❑ Yes ❑ No ❑ ji <br /> FdDEVSVC\Plenning Appiimflon Fams\ Page 4 of 7 <br /> Lot Line Adjustment.doc.(Revised 05-11.09) <br />