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` LL, i"LINED <br /> A JUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> VIM <br /> s ` � Parcel Number_ Existing or Proposed Use of Parcel Existing Proposed <br /> Square Footage Square Footage <br /> �.re;r;f. .... ..... ... ..._.- ... ....... ..,.. , _. .- - or Acreage; ,'.: or Acreage <br /> ooW01, <br /> ER <br /> }Yel <br /> '0, pz <br /> �; ?; Public Water Service Provider Annex-Formation Distance to Public <br /> Exlstin ❑ <br /> Required Water{Feet} . <br /> Proposed❑ <br /> 5e"H;a <br /> ITf <br /> t Private Water Existing Well New Well ❑ Well Replacement ❑ <br /> : ; /iy jyily <br /> �, r S � T- $ •� � i b. gsel�a����/i�i M���- �° � Y.f` 33,, _ ! <br /> 3 <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> ° ;tk? Disposal Required Sewer Facility <br /> Existing❑ <br /> Proposed❑ I <br /> mi On-site Sewa a Existing Septic System ew Septic System ❑ Other ❑ 1 <br /> Dispose <br /> 1- M m res.= <br /> .:E'..;a:"'%._ - <e. 7 ., '. i':3� .,.-..e. ... tlFb6 f•h .lR..�-k8 rf. -: ..>, - t -r: r :. ". 3'., ,' <br /> Public Storm Service Provider Annex-Formation Terminal Drainage Detention- <br /> 7;! Drainage Required to: Retention Ponds i <br /> �7;,r,p Existing❑ <br /> �j 11;1�: Proposed❑ <br /> fp.j� ;; Private Storm On-site Retention Pond(s)13Natural Drainage/No Change Other ❑ <br /> Drainage❑ <br /> ' <br /> Service Provider Distance to Service Provider Distance to <br /> Service Service <br /> sE e <br /> 1r.�fA � W �fl.,s`'��.r.3L°:of x,.y.-"�k'S§�r�&?�"'4-r'stf% .,,#;'Sg��3�� '�i''�'F�.�3, i1�'a1!.S',�8. ♦� y - a.;,� - _,r"�'yr"4 ;�F^}3 Es:'�4��x z-_ <br /> y' Service Provider Distance to Service Provider Distance to <br /> ik '' Service Service <br /> 04 <br /> � � � , I .P �ctton ffierilcu x <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School station <br /> Y3 t <br /> TO <br /> g, <br /> 1 __ � r',£�'s ,;7..°t# a��a""�?T"�i-'�%.,' $.+c!�'�"Y�$' <br /> e+B ,_ aT ez � <br /> m 69 4 8fx P;' A <br /> i$tf11 R ds�. <br /> Road/Street Name R.O.W. Width _ Pavement Width Curb/Gutter . Sidewalks <br /> E�P• <br /> 6 <br /> w O/ Yes❑ No _Yes❑ No . ,:.: •—. <br /> RDYes 11Nq4 Yes❑ No <br /> � D <br /> <-s.sfi.o� .� �� .�.Pp <br /> ,� i�,, i.T � sf 4t"-?j�"ryp AL ?t'� 1.t <br /> s � 1 r��'�°-s I plYipG:.iBd ftf>B81:S,r.` �,g'r' ,�`' r <br /> P m g: r' z, f 1" ..w P A -r w. P:�. �S°-, <br /> is n <br /> a Road/Street Name R.O.W. Width Pavement Width Curb/Gutfer Sidewalks <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ i <br /> Hq� <br /> tk cl <br /> i .1.�. 1:41 PMPA_LA99 February 1,1999 <br /> f 5 <br /> A <br />