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f <br /> r y� APPLICA'i.ib,N - VARIANCE <br /> SAN.JOAQUIN COUNTY COMMUNITY DEVEI_'QPMENT DEPARTMENT <br /> a •F' - - - <br /> I FILE NUMBER: VR-.. <br /> - <br /> - <br /> Public Water Se,r`ice I?royider annex=Fbrrr�aE�on Drsti'nce#o-Public. <br /> Proposed❑ Re aired <br /> Pnvate Water❑ Exlstm' Wei! <br /> ' Nerrsr Weil..:} <br /> �v� Well Re lacement ❑ <br /> Public Sewage <br /> Disposal Service Piovider Annex=Formatioh Distance toPubhc;` <br /> Proposed Re aired Sewer Facifi <br />{ Existin G G C I2 D� <br /> On-site Sewage <br /> Dis osal❑ <br /> Existing Septic System ❑ New Septic System ❑ Other <br /> storm brairiag a <br /> Pubiic Storm <br /> Drainage Service Provider(if Public) .Annex-Formation Termihal Drainage Detention-Retention <br /> Proposed❑ Re uired to: Ponds <br /> Existing,�, A i <br /> Private Storm <br /> Drama e❑ 'On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> _ ?- <br /> 77 <br /> 77 <br /> I:loctn+ctty <br /> K Telephone Srvia®,': <br /> Distance to <br /> Service provider Service Service Provider <br /> Distance to Service <br /> PSI <br /> z z,. <br /> r <br /> School Service Fire Protectlbn service <br /> Service Provider Distance to Elem <br /> School Service Provider Distance to Fire Station <br /> Exlstin Roads . <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> i <br /> F;DEVSVC%PlanningApplication FormsWariance.doc"(Revised 8-1M4) Page 3 of T <br /> 9 , <br /> I <br /> " t <br />