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APPLICATION- SITE APPROVAL <br /> PRIVATE RIGHT OF WAY - ANTIQUATED SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> K <br /> Public Water Service Provider Mnez-Formation Distance to <br /> Proposed 0 Required Public WMer <br /> Existing 0 <br /> Private Water Existing Well (3 New Well Well Replacement o <br /> M, <br /> 01"'.Oil ".1.1 <br /> Public Sewage service Provider Annex-Formation Distance to <br /> Disposal Required Public Sewer <br /> Proposed 11 Facility <br /> Existing 0 <br /> On-she Sr 0 Existing Septic System 0 New Septic System Other 0 <br /> Disposal <br /> fiT <br /> Public Storm Service Provider (if Public) Annex-Formatlon Terminal Drainage Detention, <br /> Drainage Required to: Retention Ponds <br /> Proposed 13 <br /> Existing C3 <br /> - -- I <br /> Private Storm On-atte Retention Pond(s) 0 Natural Drainage/No Change Other 0 <br /> Private <br /> Storm <br /> Eiectricity <br /> Service Provider Distance 10 Service Provider Distance to <br /> Service Service <br /> o- E <br /> SrhOW S*Mce <br /> Service Provider Distance to Elern Service Provider Distance to Fire <br /> School Station <br /> Road/Slrest Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> Yes 0 140 9 Yeso No <br /> Yeso MOP Yes 0 P40]b <br /> -3- <br />