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APPLICATION- SITE APPROVAL <br /> PRIVATE RIGHT OF WAY- ANTIQuA-TZD_SUMNSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> A,' ., IM,.,r„Rt Pt�E.ME�N♦•'�+T+.S��,yA.iN.x.Dwt,Sa rE-RV...ICES <br /> ,.:?r•. r �'wl �' 'Av': ��,+1 +y H�wL4ti�`}����� �♦ 1I'h�♦ � ��� < �'�4tkr,•�;r'y�t�*��'f��Y`�33. <br /> Public Water Service Provider Annex-Formation Distance to Public Wafer <br /> Proposed❑ Required (Fee() <br /> Existing❑ <br /> Private Water Existing Well ❑ New Well,lf► Well Replacement ❑ <br /> 'M.U-"mblfey> '♦�swt�+Ytr♦+al° la�rl +-�r�-, <br /> Public Sewage Service Provider Annex-Formation Distance to Public Sewer <br /> Required Facility <br /> Disposal <br /> Proposed❑ <br /> Existing❑ <br /> On-site Sewage Existing Septic System ❑ New Septic System Other ❑ <br /> Disposal <br /> r 4 k .rT 4 S'w "ry-y+.« rr♦ t-''N(p• t'�.�. <br /> r,,, : <br />