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..o` APPLICATION — LOT LINE ADJUSTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT r� w: FILE NUMBER: • � /FOS• 7 PROPOSED PARCELS Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acreage 1 Vineyard 5.51 Ac 11.37 Ac 2 Vineyard 6.12 Ac 7.78 Ac 3 Rural Residential 3.21 Ac 3.48 Ac 4 Vineyard 17.11 Ac 9.32 Ac SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Re uired Water Feet Proposed ❑ Existing❑ Private Water E Existing Well ® New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Ann tion Distance to Public Disposal Service Provider Re uired Sewer Facility Proposed ❑ Existin ❑ On-site Sewage Disposal E 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 Drainage E On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service P.G.&E. Ajdacent AT&T Adjacent School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station Lodi Unified 5 Miles Mokelumne 5 Miles Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks State Route 12 80' 40' Yes ❑ No E Yes❑ No E Yes ❑ No ❑ Yes❑ No❑ Proposed Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks N/A Yes ❑ No ❑ Yes❑ No oQi Yes ❑ No ❑ Yes ❑ No ❑ F.0EVSVC\P1anning Application Forms\ Page 4 of 7 Lot Line Adjustment.jim (Revised 05-11.09) Project No. 1328