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PLAN MAP AMENDMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT C9�rFOR�`P FILE NUMBER: - - SITE IMPROVEMENTS AND:SERVICES ----- Water A Public Water Service Provider nnex-Formation Distance to Public Proposed C1Re Required Water Feet Existin GAL WA leo Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ Sewage,Disposal _ Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed❑ Existing I=y nfN On-site Sewage --__Disposal❑ Existing Septic System ❑ New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ Pepuired to: Ponds Existing ®, Private Storm Drainage❑ On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service P F L5s� School Service- - -Fire Protection Service Service Provider Distance to Elem School Service Provider Distance to Fire Station u UNi i �Asr rJZ Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks AIN Sr io Yes❑ No ❑ Yes[INo❑ &0oL-i p tt LA 2Rn�-l.— S �}� Yes❑ No Z Yes❑ No H ENVIRONMENTAL INFORMATION USE ADDITIONAL PAPER, IF NECESSARY Water,Drainage and Flooding Describe any areas subject to flooding(include flood depths and flood panel map number): eWL Describe the current depth of the ground water and depth to potable water: Describe any existing drainage courses or eroded areas on or near the project site(e.g. rivers,creeks,swales or drainage ditches): N� F:\DEVSVO\Planning Application Forms\ Page 5 of 7 Plan Application Amendmenl.doc.(Revised 0425-05)