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r <br /> p a <br /> APPLICATION -- LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> I <br /> q " , PROPOSEQ PAk�CELS � x. x <br /> ` <br /> Existing Square Proposed Square <br /> Parcel Number Existing or Proposed Use or Parcel Footage or Acreage Footage or Acreage <br /> 1 Bare Ground 5 Acres 5.5 Acres <br /> 2 Bare Ground 6 Acres 5.4 Acres <br /> 3 Vine and/Homesite 19 Acres 6.6 Acres <br /> 4 Vine and 1 Acres 13.6 Acres <br /> uta SFfE IMPRQ1rElhi�NwNT AND SER111ES � _ � � {a <br /> M%< <br /> Public Water Annex Formation Distance to Public <br /> Proposed❑ Service Provider Required Water(Feet) <br /> Existing❑ <br /> Private Water ® Existing Well ® New Weil ❑ Well Replacement ❑ <br /> Public Sewage Annex Formation Distance to Public <br /> Disposal Service Provider --Required Water(Feet) <br /> Proposed ❑ <br /> Existing ❑ <br /> On-Site Sewage <br /> Private Water ® Existing Septic System ® New Septic System ❑ Other ❑ <br /> $r -•L3" Id 7,e$S ». � V tQf 11�ra�r'ages- � v �' -m <br /> .4..� m. <br /> :'xe .".. ._ ..x,- ..., <br /> Public Storm Annex Formation Terminal Drainage Detention-Retention <br /> Disposal Service Provider(if Public) Required To: Ponds <br /> Proposed ❑ <br /> Existing ❑ <br /> Private Storm <br /> Drainage❑ On-Site Retention Pond(s) ❑ Natural Drainage/No Change ® Other ❑� r EI'ectrlctty ' �' ; Telephone 5erwce�enr <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P.G.&E. On site P.G.&E. On site <br /> o- <br /> F ScFpisl Servlcer �re Protection Service , k. r.„ ;; <br /> Distance to Elem Distance to Fire <br /> Service Provider School Service Provider Station <br /> Lodi Unified School District 2 Miles Lockeford Fire 2 Miles <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> State Hwy 12 80' 42' ❑ Yes ® No ❑ Yes ® No <br /> ❑ Yes ❑ No ❑ Yes ❑ No <br /> w <br /> r. Pro osstl-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:IDEVSVC\Planning Application Forms\) Page 4 of 7 <br /> Lot Line Adjustment.doe (Revised 6-04-04 <br />