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i <br /> A1. PLICA TION - ZONE Rh%LAssncA TION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT-DEPARTMENT <br /> SITE IMPROVEMENTS AND B�IgVICES <br /> Service Provider . Annex-Formatfon- Dista nter to to Pubtfc <br /> Public Water❑ • r ;Rerluired ,WaFeet) <br /> [Private Water - ExistingWell « • <br /> New Well ❑ � -.Well Well Replacement'❑f• ''-�- = ." <br /> -,t`i >yt'.�.y3 ..E d 1 ¢ Sx5 R ] � Y rh 1 1•' A�{d!- 5 ! l i - ! <br /> 4 <br /> e> <br /> Public Sewage Service Provider Annex-Formation Distance to Pu61lc <br /> Disposal❑.. k Required Sewer Facility <br /> i <br /> On-site Sewage "Existing Septic System ❑ New Septic System Other ❑ <br /> DisposaIg <br /> o��,ca <br /> Public.Sform` ;service Providpr(if Public) Annex-Formatfom, T"erminal rain Y <br /> t age <br /> Drainage❑ Dete Uon- <br /> Requlriad fo: beton ion Porids <br /> Private Storm On-site Retention Pond(s) Natural Drainage/No Change ❑ Other ❑ <br /> Drainage <br /> Y hY � . :¢ } lbphan9ervfce ffi " <br /> Service provider Distance to „ Service Provider Distance to <br /> Service <br /> _ Service <br /> ".SchoohServlce . <br /> FIPe Pro <br /> tectian;Service .t <br /> Service Provider, ;? Distance to Flem Service Provide :',. Distance to Fire <br /> School LL Station <br /> e rfi ik 3l v ylj 1 <br /> Road/Street Name R.O.W. Width Pavement Width CurWGutter Sidewalks <br /> O Yes❑ No�C Yesr❑ifNo ' <br /> Yes❑ No 0 Yes❑ No Q <br /> r <br />