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APPLICATION - DEVIATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER_ OV- <br /> Pascal Number Existing or PlopDS9d U99 of Parcel Square Foofage <br /> or Acreage <br /> APN 213-10030 F_aoaOYty 40+aola parcel bo&V mg dddod►Ib o 2.±-arse bomesde _ _ 2 acres <br /> pwcWaida 38±ata f 3f aces <br /> IWAWWWNTS AND SERVICES <br /> Water <br /> FWfiC 1Nrbr S'ei uf.'r,P,ovaer Annex-Famahon Distance to Public <br /> Erls6g D Required Water(leel) <br /> P"Pased D <br /> private Water C1 Existing Well ID New Well ❑ Well Replacement ❑ <br /> Sewn ga Dlspoatl . <br /> Pit*Sewage Service Provider Annexfama4on Distance M Public <br /> Disposal Required Sewer Facility <br /> Existing ❑ <br /> Proposed O <br /> a s re Sew <br /> � Existing Septic System New Septic System ❑ Other ❑ <br /> Drsposa! Lh <br /> . Storm Drainage <br /> Public Slwm Service Provider Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage _ Required to: Ponds <br /> Existing D <br /> Proposed ❑ <br /> Private Storm On-site Retention Pond(s) ❑ Nalural Dramage/No Change 0 Other ❑ <br /> Drmnage <br /> fY Natnrat Gas <br /> Service Provider D,sla,ce to Service Distance In Service <br /> PG&E Jn-Site Ncne <br /> Cabe Televtstor, <br /> Service Provider _ s(anre(c c. virs Sernce Provider >n. - Service <br /> AT&T Om Site None <br /> Fire Pro j <br /> servloaProvider <br /> Distance to D,shnml <br /> Yxrv,< Pm rider <br /> emenfery School <br /> Banta Eletnenta 1 9 Miles i racy Pruni 4.r Mlles <br /> . Fx7sitng Roads _ <br /> _ _Roa651reat Name h' In,rdfh Pavement Width Curb/Gutta, S,dewalks <br /> -Deft Amute 21' + ❑Yes plNo ❑Yes ONO <br /> ❑Yes []No Dyes Oft <br /> Proposed Roads _ <br /> _ fbo&',;* f Name R.O.W.MAM Pavemen MM CurhrGu fer _Sidewalks <br /> ❑Yes DNo Dyes ONO <br /> - DYes Oft ❑Yes ONo <br />