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a � APPLICATION SITE APPROVAL <br /> PRIVATE RIGHT OF WAY - ANTIQUATED SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> _ FILE NUMBER: SA- <br /> L��dt't <br /> ,i.�. .� ..7�� .��,:'��-.�a�;'��i,9�F+7i:t.. �i,+�'af.,j� �; � •..i% d -F. . 'F�. -sA�. �� .�� s�,. .a`'�> e 1.,-r'i1.L',�a.i.3�a���„.'.Yw <br /> i�;nnex l=i rrsratl©n btstance to P.Ub1ic. <br /> Public Water,. ServtceilPtovit i3r ;R vire .. Water. f eet <br /> Proposed CI <br /> Existing❑ �l <br /> ....... <br /> Private Waterer Existing Well. ❑ New Well Well.Replacement ❑ <br /> i � <br /> " Public Sewage ~' Annex-mFormation Distance to Public <br /> Disposal Service Provider Regi Sewer Faciii <br /> Proposed❑ <br /> E=xisiin ❑ / <br /> On-site Sewage <br /> Dis4sala EAsting Se be System ❑ New.Septic§yEt2m ®. Other ❑ <br /> s ry -€ �x-- ��r�t�O`s♦'i�1'E�r�rq��@ -� � ; 'ut �dY <br /> ,i f>�. t•xa ,.Ga .Id:a±a.�,a.�.��,.�.: w�:2n+w..0 Y'ni��,�, ��: ._��nr ,^�..�.,X�4--.{s_..:.. .� af. <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 /> Drains a On-site Retention Pond(s) ❑ Natural Drains e1No Chane ®, Other ❑ <br /> Elecbicity x `Te"Iepi�one Service � <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> _ FlG G�iv J ..: <br /> school Service Fire Protection service <br /> Distance to Ilem " <br /> Service Provider School Service Provider Distance to Fire Station <br /> ExIsAlfig Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No J Yes❑ No& <br /> Yes❑ No❑ Yes❑ No❑ <br /> F:%DEVSVCTlanning Application FormsiSite Approval) Page 3 of 7 <br /> Private Right of Way.{Revised4-2-03 <br /> r. <br />