Laserfiche WebLink
APPLICAT N - DEVIATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ac FILE NUMBER: DV- <br /> k t5'k <br /> SITE IMPROVEMENTS AND SERVICES - <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feel <br /> Proposed❑ <br /> Existing LO I-A-)MAYUM114l <br /> Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Ann tion Distance to Public <br /> Disposal Service Provider Re uired Sewer Facility <br /> Proposed❑ <br /> Existing [J"� l.xoc�fOR- <br /> On-site Sewage <br /> Dis osal ❑ 'u 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❑ �' � Required to: Ponds <br /> Existing[� �` 011.4wUU) Co . <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 /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> MICA- \1164A LAIJ� Lit zr VI Yes ff-No ❑ Yes[Er No❑ <br /> 2. Yes❑ No❑ Yes❑ No❑ <br /> F OEVSVOPlanning Application FormsTeviation.doc.(Revised 1-"3) Page 3 of 6 <br />