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APPLICATION - QUARRY EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: QX- <br /> APPLICATION`:FORM <br /> TO BE.COMPLETED.BYTHE APPLiCANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information Applicant Information <br /> Name: ZqND1-f14 j-- L,,4THRop �Cgoz.,p LLC— Name: C'�2G �Ciw n <br /> Address: ��3 S�y�-` -C-f �}/7 Addrest. Z2 5. (QS 7 v <br /> /29 <br /> el-7 _ 16;-3 Cc, <br /> Phone / S 3 -- 6 Phone: (2,0 67 5 g L- <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Sire Number of Parcels Willlamron Act Contract <br /> 2 Zi( l _ I 6 � Z ❑Yes No <br /> 0Z 0 <br /> Properly Address: (�J <br /> Existingland Uses <br /> On-Site Uses(Include Ag Crops): <br /> /(?C///910D 2G ears <br /> Uses to the North: �rE/yr <br /> Uses to the Fatl: G ,/.s7 <br /> //`/ r Ems'`r C/ <br /> Uses to the South: �✓�.-/S 7 /lJGy 14Z-A10 r,1 •'-- <br /> Uses to the Well: <br /> SITE IMPROVEMENTS AND SERVICES <br /> wQ Ce1e'�i , <br /> Public Water: Service Provider Ars. -Formation Required Distance to Public Water(Felt) <br /> Es/sting lJ <br /> Proposed ❑ <br /> Private Water Exltting Well New Well W<11 Replan mens ❑ <br /> Sewage Disposal <br /> Public Sewage Disposal: Service Provider Annex Formation Required Dis tonce to Public Sewer Facility <br /> Existing <br /> Propose ❑ <br /> On-site Sewage Dltposa/ Existing Septic System ❑ New Septic System other ❑ <br /> Storm Drainage , <br /> Public Storm Drainage: Annex Formation Required TuminaI Drainage to: Detention-Retention Ponds <br /> Cxls ring � <br /> Proposed ❑ <br /> Prlvatr Storm Drainage On-tile Retention Pond(s) Natural Drainage/No Other ❑ <br /> Chong. <br />