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PLAN MAP AMENDMENT <br /> m < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> I <br /> �•.. .p FILE NUMBER: - <br /> "r<iFORN� <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public Water Service Provider Annex-Formation Distance to Public <br /> Proposed Required Water Feet <br /> Existing huk rf &�1 <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed <br /> Existin Sag <br /> On-site Sewage <br /> Disposal ❑ Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Storm Drainage <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 /> Draina e❑ On-site Retention Ponds) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Electricity T Telephone Service <br /> Distance to <br /> Service Provider I Service Service Provider Distance to Service <br /> T C AlTiT <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> MAN 1"Nle) #�oL715 I�7 'ON' OM 15 l <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> //'� N� rr <br /> AgNKOAP B 1 .+t ?,;U Yes No[_1 Yes [-INo <br /> �wc9-5a-C fi 3 ell Yes❑ No Yes[I No <br /> ENVIRONMENTAL INFORMATION <br /> USE ADDITIONAL PAPER, IF NECESSARY <br /> Water, Drainage and Flooding <br /> Describe any areas subject to flooding(include flood depths and flood panel map number): <br /> (li -- 1 F <br /> Describe the current depth of the ground water and depth to potable water: <br /> Describe any existing drainage courses or eroded areas on or near the project site(e.g. rivers, creeks,swales or drainage ditches): <br /> - 5 <br /> F:IDEVSMPlanning Applicabon Founsl Page 5 of 7 <br /> Plan Application Amendment.doc.(Revised 05-11-09 <br />