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4�1N <br /> APPLICATION - VARIANCE <br /> �'1 t SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> o'' P FILE NUMBER: VR- <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Public WaterAnnex-Formation Distance to Public <br /> Service Provider <br /> Proposed F­1Re uired Water Feet <br /> Existin ❑ N/A <br /> Private Water Existing Well [Vf New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ N/A <br /> Existin E] <br /> On-site Sewage <br /> Dis osal L!1 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 E3Required to: Ponds <br /> Existing ❑ N/A <br /> Private Storm <br /> Drainage❑ 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 /> PG&E 100' Frontier 150' <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem <br /> School Service Provider Distance to Fire Station <br /> Manteca 4 Miles Lathrop Fire District 3 Miles <br /> Existing Roads <br /> Road/Street Name R.O.W.Width I Pavement Width Curb/Gutter Sidewalks <br /> S. Manteca Rd. +/_25' +/-25' Yes ❑ Noo Yes❑ No Ef <br /> Yes❑ No❑ Yes❑ No ❑ <br /> FADEVSVCT[anning Application FonsWananceAm.(Revised 5-11-09) Page 3 of 7 <br />