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I <br /> APPLICATION - QUARRY EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: QX-- <br /> TO BE COMPLETE_ D BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: K&T✓4§�] 5/ ll� <br /> Address: O -7 Address: Q Co d <br /> ff <br /> o��, �a3 - 9sz3/ <br /> y <br /> Phone: Phone: '�Zol. q7L'-!J`O e <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information . <br /> Assessor Parcel Number(s) Property.Size Number of Parcels Project Size Williamson Act Contract , <br /> faL0AIC � r Yes ❑No <br /> o <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): L&O gA PT" <br /> Uses to the North: (_ {, G <br /> G Uses to the East: <br /> Uses to the South: C G S <br /> Uses to the West: w S <br /> SITE IMPROVEMENTS AND SERVICES <br /> 'Water <br /> i Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feek <br /> Proposed❑ <br /> Existing❑ A/014 <br /> Private Water❑ Existing Well ❑ New Well_❑ Well Replacement El <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed El <br /> Existing❑ <br /> On-site Sewage <br /> Di5 osal❑. Existing Septic System ❑ New Septic System ❑ Other ❑. <br /> Storm Drainage <br /> Public Storm <br /> � Ann <br /> Drainage Service Provider(if Public) ex-Formation Terminal Drainage Detention-Retention <br /> Required to: Pends <br /> Proposed El <br /> Existing❑ Momi <br /> Private Storm <br /> Drainage ElOn-site Retention Ponds ❑ Natural Drains e1No Chan a Other E) <br /> RMEVSMPlanning Application Forms\ Page 2 of 18 c <br /> Quarry Excay.ation.doc.(Revised 04-13-09) <br />