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APPLICATION - VARIANCE
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> Service Provider Annex-Formation Distance to Public
<br /> Public Water Required Water(Feels
<br /> Existing ❑
<br /> Proposed ❑
<br /> *PrkleeWater Obasting Weil New Well D Well Replacement ❑
<br /> Sewage Service Provider Annex-Formation Distance to Public
<br /> Disposal Required Sewer Facility
<br /> Existing E3
<br /> Proposed O
<br /> 4 On-site Sewage Existing Septic System New Septic System ID Other ❑
<br /> Disposal U
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<br /> Public Storm Service Provider(d Public) Annex-Formation Terminal Drainage Detention-
<br /> Drainage Required to: Retention Ponds
<br /> Existing ❑
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<br /> Private Storm On-site Retention Pond(s) 0 Natural Drainage/No Change ❑ Other d
<br /> Drainage❑
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<br /> Service Provider Distance to Service Service Provider Distance to
<br /> Service
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<br /> Service Provider Distance to Bern Service Provider Distance to Fire
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> Yes 0 NqA Yes❑ No
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