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APPLICATION- SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT Utr'Am i <br /> SITE IMPROVEMENTS AND SERVICES <br /> Waiter- <br /> Public Water Service Provider Annex-Formation Distanco to Public Weter <br /> Proposed 0 Required (Feet) <br /> Existing 0 <br /> W + k <br /> Private Water 0 Existing Well New Well 0 Well Replacement 0 <br /> Sewage Disposal <br /> Public Sewage Service Provider Annex-Formation Draance to Public$ewer <br /> Disposal Required Facility <br /> Proposed 0 <br /> Existing 0 <br /> On-site Sewage Existing Septic System New Septic System 0 Other 0 <br /> Disposal 0 <br /> Storm Drainage <br /> Public Storm Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Required to: Ponds <br /> Proposed 0 <br /> Existing 0 <br /> Private Ste" On-site Retention Pond(s) Natural Drainage/No Change 0 Other ❑ <br /> Drainage 0 <br /> Electricity telephone Service <br /> Service Provider Distance to Service Service Provider Distance to Service <br /> C: F m,. . S� X.45T <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire <br /> School Station <br /> Existing Roads <br /> Road/Street Name R.O.W Width Pavement Width Curb/Gutter Sidewalks <br /> I <br /> 2 5( Yes 0 No J, Yes 0 No[� <br /> Yes 0 No 0 Yes 0 No 0 <br /> -3- <br />