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APPLICATION SITE APPROVAL <br /> -,. PRIVATE RIGHT OF WAY - ANTIQUATED SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> SITE IMPROVEMENTS.AND SERVICES <br /> Water. - <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existing ❑ <br /> Private Water Existing Well L9 L+ I� New Well L✓J y`�ot Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed❑ <br /> Existing ❑ <br /> On-site Sewage (,e+ f /o 16 <br /> Dis osal [r Existing Septic System E( (..o4- I J New Septic System Z Other ❑ <br /> Storm Drainage - - <br /> Public Storm <br /> Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Proposed❑ 1 Required to: Ponds <br /> Existing ❑ <br /> Private Stor ,�/ <br /> Draina a On-site Retention Ponds E) Natural Drainage/No Chane ER Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> G. 5 t: EAsv fw wr �S' E c E ash P­orc- L., ,s <br /> School Service Fire Protection Service <br /> Distance to Elem <br /> Service Provider School Service Provider Distance to Fire Station <br /> Existing Roads <br /> Road/Streett`/nN1ame R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> k. 40e 301 Yes❑ No[K Yes❑ No Q' <br /> Yes❑ No[j Yes❑ No <br /> F:\DEVSVC\Planning Application Fonns\Site Approval) Page 3 of 7 <br /> Private Right of Way.(Revised4-2-03 <br />