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°A01y. APPLICATION - VARIANCE <br /> h' I SAN iOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> •: _.;p FILE NUMBER: VR- <br /> Y'oa� <br /> -- - - SITE IMPROVEMENTS AND SERVICES <br /> _ Water= <br /> Annex-Formation Distance to Public <br /> Public Water Service Prouder Required Water Feet <br /> Proposed❑ <br /> Existin <br /> Private Water❑ Existing Well New Well ❑ Well Replacement ❑ <br /> SewageDisposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal❑ Existing Septic System [2 New Septic System ❑ Other ❑ <br /> . Storm Drainage <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ Re uired to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage❑ On-site Retention Pond(s) 91 Natural Drainage/No Change ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> PG&E on site AT&T on site <br /> School Service Fire ProtectionService <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Lodi Unified n/a Woodbridge 3 miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> 2300 N. Davis Road 80 ' 20 ' Yes El No R1 Yes❑ No JD <br /> Lodi, CA Yes❑ No❑ Yes❑ No❑ <br /> FADEVSVMPlanning Application FomslVariance.doc.(Revised 5-11-09) Page 4 of 8 <br />