Laserfiche WebLink
PLAN MAP AMENDMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> q oR'P FILE NUMBER: - <br /> - x � <br /> Public WaterAnnex-Formation Distance to Public <br /> Service Provider <br /> Proposed ❑ Re uired Water Feet <br /> ' <br /> Existin GAS lAA-t�L,z s <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> SewageSsposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Re uired Sewer Facili <br /> Proposed ❑ <br /> Existing <br /> tJ <br /> On-site Sewage <br /> Disposal❑ Existing Septic System ❑ 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 uirei to: Ponds <br /> Existing EL I <br /> Private Storm <br /> Draina e❑ On-site Retention Pond(s) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Electricity - Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> P Ss� <br /> School Service . Fire-Protection Service <br /> Service Provider Distance to Elem <br /> School Service Provider Distance to Fire Station <br /> Toil um virlyp F=! srSt w_ <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> A 9 ST- 60 Yes❑ No ❑ Yes❑ No❑ <br /> GTbI t O L62RcL t_ S 91� Yes❑ No ® Yes❑ No [s� <br /> ENVIRONMENTAL INFORMATION <br /> USE ADDITIONAL PAPER, IF NECESSARY) <br /> Water,Drainage and Flooding <br /> Describe any areas subject to flooding (include flood depths and flood panel map number): <br /> I(eNIF- <br /> Describe the current depth of the ground water and depth to potable water: <br /> Describe any existing drainage courses or eroded areas on or near the project site(e.g.rivers,creeks,swales or drainage ditches): <br /> Ot3f� <br /> FADEVSMCWIanning Application Forms\ Page 5 of 7 <br /> Plan Application Annentlment.doc.(Revised 0425-05) <br />