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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 /> ExistinPublg C3 -Required Required Water(Foo
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<br /> Proposed ❑
<br /> Private Water '... Existing Well IR New Well © Well Replacement ❑
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<br /> Arinex=Forrtiatoon Distance to Public keg
<br /> Disposal Re wired
<br /> Existing ❑ q S wer Facility
<br /> Proposed iD
<br /> Orrshe Sewage Existing Septic System IN New Septic System ❑ Other ❑
<br /> Disposal EX
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<br /> Public Storm Service Provider(!t Public) Annex-Formation Terminal Drainage Detention-
<br /> Drainage Required to: Retention Ponds
<br /> Existing ❑
<br /> Proposed 0
<br /> Private Storm. On-site Retention Pond(s) ❑ Natural Drainage/No Change YI Other ❑
<br /> Drainage CR
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<br /> Service Provider Distance to Service- Service Provider
<br /> Distance to......::•
<br /> Service
<br /> P G & E COntinerita.l Telephone
<br /> Service Provider Distance to Elem Service Provider Distance to Fire
<br /> School
<br /> Station
<br /> MUSD 2 miles Manteca - Lathrop 2 miles:
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<br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks
<br /> Austin Road Yes❑ No Y9 Yes❑ No ix
<br /> Yes❑ No❑ Yes❑ No❑
<br /> ' +e
<br /> -3-
<br /> 16 f
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