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.SITE IMPROVEM ENTS AND SERVICES <br /> V4tATER.:...:.... .. - r r <br /> Public Water Service Provider: Annexation or For.. Distance to Public Water(R.) <br /> Required? <br /> Existing ❑ CSA-44A 500 ' <br /> Proposed ❑ Yes fit No ❑ <br /> Private Water: Existing Well New Well Other: <br /> Or <br /> Public Sewage Disposal Service Provider: Annexation or Formation Distance to Public Sewer <br /> Existing <br /> CSA-44B Required? Facility(miles) <br /> Proposed Yes 25 No❑ 500 <br /> ' <br /> On-Site Sewage Disposal: Existing Septic System ❑ New Septic System ❑ Other: <br /> ` �•y "'(�t�.1JJG �r i 2 z :kk.<• y .�- -}--y <br /> Public Storm Drainage Service Provider: Armex or Formatioc Terminal Drainage to: Detention- <br /> Required? Retention Ponds? <br /> Existing ❑ CSA-44B <br /> Proposed Yes® No❑ Yesg No ❑ <br /> ,Private Storm w j <br /> Drainage:. On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other: t <br /> SLE R IT3 ...... ::..:.:1.: <br /> ::....::............:.....::...:.:.:: <br /> Service Provider: Distance to Service: Service Provider•. Distance to Service: <br /> i <br /> P. G. & E. On-Site Pae-Bell On-Site.._ <br /> District Distance to School Service Provider Dist.to Fire Station <br /> Elenremtarr- Jefferson 1/4 M i. <br /> Highschool: Tracy 4 Mi. Tracv Rural 1/2 Mi. <br /> k. <br /> trffla7, tI ALCE>3w.T"'; �tl. ;r7 rr. -. ..- <br /> ..F. T ....i.....:: <br /> Rbad/Street Name " R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Chrisman Rd. 50 ' 32 ' Yea❑ No Yes❑ No <br /> Yes❑ No❑ Yes❑ No❑ <br /> r <br />