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<br /> APPLICATION -- LOT LINE ADJUSTMENT
<br /> z` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> (0: X
<br /> FILE NUMBER:
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<br /> Existing Square Proposed Square
<br /> Parcel Number Existin or Proposed Use of Parcel Footage or Acreage Footage or Acreage
<br /> 120-020-04 ROW CROPS AGRICULTURE 36.70 AC 20.21 AC
<br /> 120-020-05 ROW�CROPS, AGRICULTURE 43.87 AC 60.36 AC
<br /> 120-020-06 ROW'CROPS, AGRICULTURE + RESIDENCE (UNOCCUPIED)
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<br /> Public WaterAnnex-Formation Distance to Public
<br /> Service Provider Re uired Water Feet
<br /> Proposed E]
<br /> Existin ❑
<br /> Private Water❑x Existing Well ❑X New Weil ❑ Well Replacement
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<br /> Public Sewage Annex-Formation Distance to Public
<br /> Disposal Service Provider Required Sewer Facility
<br /> Proposed❑
<br /> Existin ❑ !
<br /> On-site Sewage
<br /> Disposal© Existing Septic System ® New Septic System ❑ Other ❑ "
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<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❑X On-site Retentx"lion Ponds F1 Natural Draina e1No Change ❑X Other ❑
<br /> 5 n
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<br /> Distance to
<br /> Service Provider Service Service Provider Distance to Service
<br /> PG&E ON-SITE SBC
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<br /> Distance to Elem
<br /> Service Provider School Service Provider Distance to Fire Station
<br /> LODI UNIFIED 1.5 MI WATERLOO/MORADA 2 MI
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<br /> RoadlStree#Name R.O.W.Width Pavement Width CurblGutter Sidewalks
<br /> I
<br /> WEST LANE 110 30f EA DIR Yes❑ No® Yes❑ No FLI
<br /> Yes❑ No❑ Yes❑ No❑
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<br /> et.:;,:?,?�" i� � ,att ,mss.-`5 sz°, "y "i s.?'M„,maz� f�, s�, z f €,a�.a4$ :�g'
<br /> ,.�,a e«= #d
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> Yes ❑ No❑ Yes❑ No❑
<br /> Yes❑ No❑ Yes❑ No❑ i
<br /> FA)EVSMIRlanning Application Forms\ Page 4 of 7
<br /> Lot line Adjustment.doc.(Revised 6-4-04)
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